Provider Demographics
| NPI: | 1831856343 |
|---|---|
| Name: | FRESENIUS VASCULAR CARE LEHIGH VALLEY LLC |
| Entity type: | Organization |
| Organization Name: | FRESENIUS VASCULAR CARE LEHIGH VALLEY LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | AUTHORIZED OFFICIAL |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | GREGG |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | MILLER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 717-515-4048 |
| Mailing Address - Street 1: | PO BOX 411210 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | BOSTON |
| Mailing Address - State: | MA |
| Mailing Address - Zip Code: | 02241-1210 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 610-644-8900 |
| Mailing Address - Fax: | 484-924-0053 |
| Practice Address - Street 1: | 2014 CITY LINE RD STE 101 |
| Practice Address - Street 2: | |
| Practice Address - City: | BETHLEHEM |
| Practice Address - State: | PA |
| Practice Address - Zip Code: | 18017-2167 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 610-264-5199 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2021-11-18 |
| Last Update Date: | 2025-03-07 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 2085R0204X | Allopathic & Osteopathic Physicians | Radiology | Vascular & Interventional Radiology | Group - Multi-Specialty |