Provider Demographics
NPI:1730131541
Name:PASSMAN, HARVEY B (DO)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:B
Last Name:PASSMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1605 N CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 110B
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2351
Mailing Address - Country:US
Mailing Address - Phone:610-973-1410
Mailing Address - Fax:610-973-1449
Practice Address - Street 1:4520 PARK VIEW DR
Practice Address - Street 2:
Practice Address - City:SCHNECKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18078-2552
Practice Address - Country:US
Practice Address - Phone:610-799-4241
Practice Address - Fax:484-403-4008
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003698L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01074402OtherCAPITAL BLUE CROSS
PA136541OtherHIGHMARK PA BLUE SHIELD
PA080053720OtherPALMETTO GBA MEDICARE
PA136541OtherHIGHMARK PA BLUE SHIELD
PAC31369Medicare UPIN
PA136541LH5Medicare PIN