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VITA MEDICAL ASSOCIATES PC NPI 1649381187


NPI Information

NPI: 1649381187
Provider Name: VITA MEDICAL ASSOCIATES, PC

Doing Business As: VITA MEDICAL ASSOCIATES PC

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

CLIA Number: 39D0950912

Address:
306 S NEW ST STE 201
BETHLEHEM, PA
ZIP 18015
Phone: (610) 866-0113
Get Directions

VITA MEDICAL ASSOCIATES, PC is a hematology and oncology internal medicine in Bethlehem, PA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. VITA MEDICAL ASSOCIATES, PC NPI is 1649381187. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vita Medical Associates Pc.

The provider's business location address is:

306 S NEW ST STE 201
BETHLEHEM, PA
ZIP 18015-652
Phone: (610) 866-0113
Fax: (610) 974-8589

The provider's authorized official is Jennifer Masenheiimer .
The authorized official title is Practice Administrator and has the following contact phone number (610) 866-0113.

The CLIA number assigned to this NPI record is 39D0950912 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 1/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyMD040218LPENNSYLVANIANo
2363L00000XNurse PractitionerSP008429PENNSYLVANIANo
3207RH0003XInternal MedicineHematology & OncologyMD041008LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10012930600003MEDICAIDPENNSYLVANIA
20018028540001MEDICAIDPENNSYLVANIA
30014316580002MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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