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MUHLENBERG HOSPITAL CENTER

Clinical Neuropsychologist

Bethlehem, Pennsylvania

Provider NPI: 1518913813

Organization Information:
Organization Name:  MUHLENBERG HOSPITAL CENTER
Organization is not Subpart
Authorized Official:  MICHAEL  KAUFMANN  PRESIDENT  610-8669000

Practice Location:
2545 SCHOENERSVILLE RD BANKO BUILDING BETHLEHEM, PA 18017 US
Tel: 610-866-9000  Fax: --

Business Mailing Address:
1650 VALLEY CENTER PKWY SUITE 100 BETHLEHEM, PA 18017 US
Tel: 484-884-4436  Fax: 484-884-4444

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
PA
N364S00000XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
PA
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
PA
Y2084P0800XPhysicians
Psychiatry & Neurology
PA

Other Provider Identifiers:

IssuerNumberStateType
RAILROAD MEDICARECG6702PA01
BLUE SHIELD502922PA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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