Provider Demographics
NPI:1346239860
Name:SWETERLITSCH, LOUIS H (MD)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:H
Last Name:SWETERLITSCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:65 E ELIZABETH AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-6518
Mailing Address - Country:US
Mailing Address - Phone:610-867-5061
Mailing Address - Fax:610-867-5062
Practice Address - Street 1:65 E ELIZABETH AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-6518
Practice Address - Country:US
Practice Address - Phone:610-867-5061
Practice Address - Fax:610-867-5062
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD027962L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SW16081Medicare ID - Type Unspecified
PAB32618Medicare UPIN