=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831856343
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FRESENIUS VASCULAR CARE LEHIGH VALLEY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/18/2021
-----------------------------------------------------
Last Update Date | 12/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2014 CITY LINE RD STE 101
-----------------------------------------------------
City | BETHLEHEM
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18017-2167
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-264-5199
-----------------------------------------------------
Fax | 610-264-5198
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 411210
-----------------------------------------------------
City | BOSTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02241-1210
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-644-8900
-----------------------------------------------------
Fax | 484-924-0053
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | AUTHORIZED OFFICIAL
-----------------------------------------------------
Name | GREGG MILLER
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 717-515-4048
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2085R0204X
-----------------------------------------------------
Taxonomy Name | Vascular & Interventional Radiology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------