Healthcare Provider Details

I. General information

NPI: 1720198443
Provider Name (Legal Business Name): INFECTIOUS DISEASE ASSOCIATES OF THE LEHIGH VALLEY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 01/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3735 EASTON NAZARETH HWY SUITE 201
EASTON PA
18045-8338
US

IV. Provider business mailing address

PO BOX 20907
LEHIGH VALLEY PA
18002-0907
US

V. Phone/Fax

Practice location:
  • Phone: 610-923-9663
  • Fax: 610-923-9661
Mailing address:
  • Phone: 610-438-2427
  • Fax: 610-923-9661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: CARLA ROSSI
Title or Position: PRESIDENT
Credential: MD
Phone: 610-438-2427