Healthcare Provider Details

I. General information

NPI: 1720115272
Provider Name (Legal Business Name): LAWRENCE M. GALTMAN, M.D., PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2380 SCHOENERSVILLE RD
BETHLEHEM PA
18017-3602
US

IV. Provider business mailing address

2380 SCHOENERSVILLE RD
BETHLEHEM PA
18017-3602
US

V. Phone/Fax

Practice location:
  • Phone: 610-861-9480
  • Fax:
Mailing address:
  • Phone: 610-861-9480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD028183E
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1558456160
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerNPI

VIII. Authorized Official

Name: MS. BEVERLEY M GALTAMN
Title or Position: OFFICE MANAGER
Credential:
Phone: 610-861-9480