Healthcare Provider Details

I. General information

NPI: 1629208095
Provider Name (Legal Business Name): CHARLES E. DIGBY D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2009
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 8TH AVE FL 2
BETHLEHEM PA
18018-1883
US

IV. Provider business mailing address

1530 8TH AVE FL 2
BETHLEHEM PA
18018-1883
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-7810
  • Fax: 833-816-7516
Mailing address:
  • Phone: 484-526-7810
  • Fax: 833-816-7516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS12299
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDO2558
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberOS016037
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: