Healthcare Provider Details

I. General information

NPI: 1891791489
Provider Name (Legal Business Name): MARZENA L. BIENIEK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2226 BLAKESLEE BOULEVARD DR E STE 200
LEHIGHTON PA
18235-9619
US

IV. Provider business mailing address

2100 MACK BLVD FL 4
ALLENTOWN PA
18103-5622
US

V. Phone/Fax

Practice location:
  • Phone: 610-776-5038
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD052561L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: