Healthcare Provider Details

I. General information

NPI: 1942250634
Provider Name (Legal Business Name): INTEGRATED HEALTH SOLUTIONS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 OSTRUM ST
BETHLEHEM PA
18015-1000
US

IV. Provider business mailing address

244 COBBLESTONE LN
BETHLEHEM PA
18020-8912
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-0244
  • Fax:
Mailing address:
  • Phone: 610-365-8204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD416989
License Number StatePA

VIII. Authorized Official

Name: RITA VALLA
Title or Position: MANAGER
Credential:
Phone: 610-252-9053