Provider Demographics
NPI:1720115272
Name:LAWRENCE M. GALTMAN, M.D., PC
Entity Type:Organization
Organization Name:LAWRENCE M. GALTMAN, M.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BEVERLEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:GALTAMN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-861-9480
Mailing Address - Street 1:2380 SCHOENERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-3602
Mailing Address - Country:US
Mailing Address - Phone:610-861-9480
Mailing Address - Fax:
Practice Address - Street 1:2380 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-3602
Practice Address - Country:US
Practice Address - Phone:610-861-9480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028183E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1558456160OtherNPI
PA=========OtherTAX I.D. NUMBER
PA67691Medicare UPIN