Most Relevant Information
Provider Data
| NPI Number: | 1003817917 |
| Provider Name: | BETH L VALDERRAMA PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | MA001545L |
Most Important Dates
| Enumeration Date: | 08/02/2005 |
| Last Updated: | 12/18/2015 |
Provider Practice Location
95 HIGHLAND AVE
SUITE 130
BETHLEHEM
PA
180179424
Practice Location Phone/Fax
| Phone: | 6108681100 |
| Fax: | 6108681111 |
Provider Mailing Location
95 HIGHLAND AVE
SUITE 130
BETHLEHEM
PA
180179424
Provider Mailing Phone/Fax
| Phone: | 6108681100 |
| Fax: | 6108681111 |