Healthcare Provider Details

I. General information

NPI: 1093720948
Provider Name (Legal Business Name): MUHLENBERG HOSPITAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 10/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2604 SCHOENERSVILLE RD
BETHLEHEM PA
18017-3518
US

IV. Provider business mailing address

1650 VALLEY CENTER PKWY SUITE 100
BETHLEHEM PA
18017-2344
US

V. Phone/Fax

Practice location:
  • Phone: 610-691-8028
  • Fax:
Mailing address:
  • Phone: 484-884-4436
  • Fax: 484-884-4444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MICHAEL KAUFMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 610-866-9000