Healthcare Provider Details

I. General information

NPI: 1528808136
Provider Name (Legal Business Name): CHLOE ROBITAILLE PHYSICIAN ASSISTANT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHLOE PIZZOLATO

II. Dates (important events)

Enumeration Date: 05/30/2024
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2775 SCHOENERSVILLE RD
BETHLEHEM PA
18017-7307
US

IV. Provider business mailing address

39 AUGUSTA DR
ANNANDALE NJ
08801-1607
US

V. Phone/Fax

Practice location:
  • Phone: 610-402-8900
  • Fax: 610-402-5623
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number25MP00853400
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA067640
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: