Provider Demographics
NPI:1023046067
Name:WJO INC.
Entity Type:Organization
Organization Name:WJO INC.
Other - Org Name:BETHLEHEM FAMILY PRACTICE AND MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-826-8050
Mailing Address - Street 1:424 MILL ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:PA
Mailing Address - Zip Code:19007-4813
Mailing Address - Country:US
Mailing Address - Phone:215-826-8050
Mailing Address - Fax:215-826-8053
Practice Address - Street 1:3400 BATH PIKE
Practice Address - Street 2:SUITE 203
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-2466
Practice Address - Country:US
Practice Address - Phone:215-826-8050
Practice Address - Fax:215-826-8053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA23510500006OtherIBC
PA2351050000OtherPERSONAL CHOICE
PA23510500006OtherIBC