Healthcare Provider Details

I. General information

NPI: 1972783520
Provider Name (Legal Business Name): ORTHOPAEDIC ASSOCIATES OF ALLENTOWN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2007
Last Update Date: 03/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 MOISEY DR SUITE 103
HAZLETON PA
18202-9297
US

IV. Provider business mailing address

PO BOX 848269
BOSTON MA
02284-8269
US

V. Phone/Fax

Practice location:
  • Phone: 570-501-1033
  • Fax: 570-501-1044
Mailing address:
  • Phone: 610-973-1700
  • Fax: 610-973-1778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: RICHARD BATTISTA
Title or Position: PARTNER
Credential: MD
Phone: 610-973-6200