Healthcare Provider Details

I. General information

NPI: 1023062429
Provider Name (Legal Business Name): LIU AND ASSOCIATES FAMILY MEDICINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 09/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1251 S CEDAR CREST BLVD SUITE 102A
ALLENTOWN PA
18103-6205
US

IV. Provider business mailing address

1650 VALLEY CENTER PKWY SUITE 100
BETHLEHEM PA
18017-2344
US

V. Phone/Fax

Practice location:
  • Phone: 610-776-0377
  • Fax:
Mailing address:
  • Phone: 484-884-4436
  • Fax: 484-884-4444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StatePA

VIII. Authorized Official

Name: HENRY LIU
Title or Position: PRESIDENT
Credential: MD
Phone: 640-776-0377