Basic Information
| Provider Information | |||||||||
| NPI: | 1437537875 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ADVANCED INPATIENT MEDICINE LEHIGH PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1132 | ||||||||
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| City: | KINGSTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 187040132 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5702085525 | ||||||||
| FaxNumber: | 5702085556 | ||||||||
| Practice Location | |||||||||
| Address1: | 150 ICE LAKE DR | ||||||||
| Address2: | |||||||||
| City: | MOUNTAIN TOP | ||||||||
| State: | PA | ||||||||
| PostalCode: | 187079654 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5702414715 | ||||||||
| FaxNumber: | 5703417405 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2015 | ||||||||
| LastUpdateDate: | 09/26/2016 | ||||||||
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| AuthorizedOfficialLastName: | PAONE GALLAGHER | ||||||||
| AuthorizedOfficialFirstName: | ANNE | ||||||||
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| AuthorizedOfficialTitleorPosition: | COO | ||||||||
| AuthorizedOfficialTelephone: | 5702414715 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MS, CPC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.