Healthcare Provider Details

I. General information

NPI: 1831856343
Provider Name (Legal Business Name): FRESENIUS VASCULAR CARE LEHIGH VALLEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2021
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2014 CITY LINE RD STE 101
BETHLEHEM PA
18017-2167
US

IV. Provider business mailing address

PO BOX 411210
BOSTON MA
02241-1210
US

V. Phone/Fax

Practice location:
  • Phone: 610-264-5199
  • Fax: 610-264-5198
Mailing address:
  • Phone: 610-644-8900
  • Fax: 484-924-0053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: GREGG MILLER
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 717-515-4048