| Organization Name: | PROGRESSIVE PHYSICIAN ASSOCIATES, INC. |
| NPI Number: | 1285928218 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSANNE DEANGELO (ADMINISTRATION) |
| Mailing Address: | 425 Brighton St #303 Bethlehem |
| State: | PA US |
| Postal Code: | 180151273 |
| Phone Number: | 6108681100 |
| Fax Number: | 6108681111 |
| NPI Enumeration Date: | 06/07/2011 |
| NPI Last Update Date: | 12/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |