Provider Demographics
NPI:1497908206
Name:VALLEY PERINATAL ASSOCIATES, PC
Entity Type:Organization
Organization Name:VALLEY PERINATAL ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUNSICKER
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:610-867-4740
Mailing Address - Street 1:3101 EMRICK BLVD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-8037
Mailing Address - Country:US
Mailing Address - Phone:610-867-4740
Mailing Address - Fax:610-867-4765
Practice Address - Street 1:3101 EMRICK BLVD
Practice Address - Street 2:SUITE 209
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-8037
Practice Address - Country:US
Practice Address - Phone:610-867-4740
Practice Address - Fax:610-867-4765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-24
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD048241L207VM0101X
PAMD034567E207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC59128Medicare UPIN
PAF53244Medicare UPIN