Provider Demographics
NPI:1851340483
Name:BETHLEHEM PULMONARY ASSOC
Entity Type:Organization
Organization Name:BETHLEHEM PULMONARY ASSOC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZASIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-866-2048
Mailing Address - Street 1:1901 W HAMILTON ST
Mailing Address - Street 2:SUITE 100B
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-6459
Mailing Address - Country:US
Mailing Address - Phone:610-973-1410
Mailing Address - Fax:610-973-1449
Practice Address - Street 1:5325 NORTHGATE DR
Practice Address - Street 2:SUITE 209
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-9411
Practice Address - Country:US
Practice Address - Phone:610-866-2048
Practice Address - Fax:610-866-5058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02359000OtherCAPITAL BLUE CROSS
PA0012335170004Medicaid
PA641967OtherHIGHMARK BLUE SHIELD
CL4515OtherPALMETTO GBA
CL4515OtherPALMETTO GBA