Healthcare Provider Details

I. General information

NPI: 1699884106
Provider Name (Legal Business Name): MICHAEL NEUWIRTH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3735 NAZARETH RD STE 206
EASTON PA
18045-8346
US

IV. Provider business mailing address

801 OSTRUM ST
BETHLEHEM PA
18015-1000
US

V. Phone/Fax

Practice location:
  • Phone: 610-868-1000
  • Fax:
Mailing address:
  • Phone: 601-868-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD063222L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberMD063222L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: