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 |