Healthcare Provider Details

I. General information

NPI: 1679493480
Provider Name (Legal Business Name): THOMAS PETER WILLIAM MCDONALD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2545 SCHOENERSVILLE RD
BETHLEHEM PA
18017-7300
US

IV. Provider business mailing address

1600 LEHIGH PKWY E APT 8S
ALLENTOWN PA
18103-3035
US

V. Phone/Fax

Practice location:
  • Phone: 610-751-8253
  • Fax:
Mailing address:
  • Phone: 985-347-9965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMT238127
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: