Provider Demographics
NPI:1205866977
Name:PRIMARY CARE ASSOCIATES IN THE LEHIGH VALLEY, P.C.
Entity Type:Organization
Organization Name:PRIMARY CARE ASSOCIATES IN THE LEHIGH VALLEY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:610-776-1603
Mailing Address - Street 1:1941 W HAMILTON ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-6470
Mailing Address - Country:US
Mailing Address - Phone:610-776-1603
Mailing Address - Fax:610-776-0693
Practice Address - Street 1:1941 W HAMILTON ST
Practice Address - Street 2:SUITE 102
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-6470
Practice Address - Country:US
Practice Address - Phone:610-776-1603
Practice Address - Fax:610-776-0693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2007-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0399469001OtherKEYSTONE HEALTH PLAN EAST
PA1511986OtherGATEWAY
PA02290000OtherCAPITAL BLUE CROSS