Healthcare Provider Details

I. General information

NPI: 1801853015
Provider Name (Legal Business Name): STAMATIOS G PSARROS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 OSTRUM STREET SUITE 602
BETHLEHEM PA
18015-1184
US

IV. Provider business mailing address

701 OSTRUM STREET SUITE 602
BETHLEHEM PA
18015-1184
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-6000
  • Fax: 484-526-3752
Mailing address:
  • Phone: 484-526-6000
  • Fax: 484-526-3752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD428057
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberMD428057
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: