MEDICARE: CHARLES C. NORELLI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	MD032495E	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	250011968	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01217101	OTHER	PA	BLUE CROSS
2	821050	OTHER	PA	FIRST PRIORITY HEALTH
3	4584032	OTHER	PA	AETNA
4	68466	OTHER	PA	GEISINGER
5	0041049000	OTHER	PA	KEYSTONE EAST
6	9420763001	OTHER	PA	CIGNA
7	192944	OTHER	PA	KEYSTONE CENTRAL
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	P2572310	OTHER	PA	OXFORD
11	192944	OTHER	PA	AMERIHEALTH ADMIN

General Provider Information

NPI Number	:	1861484545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES C. NORELLI MD

Provider Business Mailing Address
First Line	:	2775 SCHOENERSVILLE RD
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18017-7307
Country	:	US
Telephone Number	:	610-861-8080
Fax Number	:	610-861-0854

Provider Business Practice Location Address
First Line	:	2597 SCHOENERSVILLE RD STE 101
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18017-7329
Country	:	US
Telephone Number	:	610-402-3300
Fax Number	:	610-402-3355

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	08/22/2022

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Directions to “ CHARLES C. NORELLI MD” Practice Location

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