Provider Demographics
NPI:1851380422
Name:SONDAY, CHARLES J (CRNP)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:J
Last Name:SONDAY
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 OSTRUM ST
Mailing Address - Street 2:MEDICAL AFFAIRS OFFICE
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1000
Mailing Address - Country:US
Mailing Address - Phone:610-954-4000
Mailing Address - Fax:
Practice Address - Street 1:1736 HAMILTON BLVD
Practice Address - Street 2:RAPID RESPONSE DEPARTMENT ST. LUKES ALLENTOWN
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104
Practice Address - Country:US
Practice Address - Phone:610-770-8306
Practice Address - Fax:610-770-8603
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008737363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1768524OtherHIGHMARK
PA1768524OtherHIGHMARK
PA094444EU8Medicare ID - Type UnspecifiedMEDICARE