Provider Demographics
NPI:1508176793
Name:RILEY CENTER FOR PELVIC HEALTH
Entity Type:Organization
Organization Name:RILEY CENTER FOR PELVIC HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-730-5583
Mailing Address - Street 1:3445 HIGH POINT BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7809
Mailing Address - Country:US
Mailing Address - Phone:610-730-5583
Mailing Address - Fax:
Practice Address - Street 1:3445 HIGH POINT BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7809
Practice Address - Country:US
Practice Address - Phone:610-730-5583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty