Basic Information
| Provider Information | |||||||||
| NPI: | 1861484545 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NORELLI | ||||||||
| FirstName: | CHARLES | ||||||||
| MiddleName: | C. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2775 SCHOENERSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180177307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108618080 | ||||||||
| FaxNumber: | 6108610854 | ||||||||
| Practice Location | |||||||||
| Address1: | 2597 SCHOENERSVILLE RD STE 101 | ||||||||
| Address2: | |||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180177329 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6104023300 | ||||||||
| FaxNumber: | 6104023355 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/18/2005 | ||||||||
| LastUpdateDate: | 08/22/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/22/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | MD032495E | PA | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
ID Information
| ID | Type | State | Issuer | Description | 01217101 | 01 | PA | BLUE CROSS | OTHER | 821050 | 01 | PA | FIRST PRIORITY HEALTH | OTHER | 4584032 | 01 | PA | AETNA | OTHER | 68466 | 01 | PA | GEISINGER | OTHER | 0041049000 | 01 | PA | KEYSTONE EAST | OTHER | 9420763001 | 01 | PA | CIGNA | OTHER | 192944 | 01 | PA | KEYSTONE CENTRAL | OTHER | 00105033900003 | 05 | PA | MEDICAID | 250011968 | 01 | PA | RAILROAD MEDICARE | OTHER | P2572310 | 01 | PA | OXFORD | OTHER | 192944 | 01 | PA | AMERIHEALTH ADMIN | OTHER |