MEDICARE: MARIE E HELMOLD 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	207N00000X	Dermatology Physician	MD055215L	PA

General Provider Information

NPI Number	:	1891791117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE E HELMOLD MD

Provider Business Mailing Address
First Line	:	1665 VALLEY CENTER PKWY STE 120
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18017-2353
Country	:	US
Telephone Number	:	610-868-3150
Fax Number	:	610-868-3156

Provider Business Practice Location Address
First Line	:	1665 VALLEY CENTER PKWY STE 120
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18017-2353
Country	:	US
Telephone Number	:	610-868-3150
Fax Number	:	610-868-3156

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

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	02/14/2023

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