Healthcare Provider Details

I. General information

NPI: 1255153581
Provider Name (Legal Business Name): CDC BETHLEHEM, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2024
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3933 FREEMANSBURG AVE
BETHLEHEM PA
18020-4567
US

IV. Provider business mailing address

1445 W BROAD ST
QUAKERTOWN PA
18951-1109
US

V. Phone/Fax

Practice location:
  • Phone: 215-538-2500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID TWARDZIK
Title or Position: OWNER
Credential: MD
Phone: 215-538-2500