Healthcare Provider Details
I. General information
NPI: 1326086919
Provider Name (Legal Business Name): HEALTH CARE ASSOCIATES, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/03/2006
Last Update Date: 07/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5074 KERNSVILLE RD
OREFIELD PA
18069-2320
US
IV. Provider business mailing address
1650 VALLEY CENTER PKWY SUITE 100
BETHLEHEM PA
18017-2344
US
V. Phone/Fax
- Phone: 484-884-7360
- Fax: 484-884-7367
- Phone: 484-884-7362
- Fax: 484-884-7367
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | PA |
VIII. Authorized Official
Name:
MELISSA
NICHOLAS
Title or Position: MANAGER
Credential:
Phone: 484-884-7362