Basic Information
| Provider Information | |||||||||
| NPI: | 1275525503 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHIAPPETTA | ||||||||
| FirstName: | NICOLE | ||||||||
| MiddleName: | C | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2775 SCHOENERSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180177307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108618080 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2775 SCHOENERSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180177307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108618080 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/23/2005 | ||||||||
| LastUpdateDate: | 12/27/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | OS012103 | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
ID Information
| ID | Type | State | Issuer | Description | 1746390 | 01 | PA | AMERIHEALTH ADMIN | OTHER | 821655 | 01 | PA | FIRST PRIORITY HEALTH | OTHER | 2411768000 | 01 | PA | KEYSTONE EAST | OTHER | P00237013 | 01 | PA | RAILROAD MEDICARE | OTHER | 2001887 | 01 | PA | KEYSTONE CENTRAL | OTHER | 1746390 | 01 | PA | BLUE SHIELD | OTHER | 7806747 | 01 | PA | AETNA | OTHER | 50053678 | 01 | PA | BLUE CROSS | OTHER | 71172 | 01 | PA | GEISINGER | OTHER |