Basic Information
Provider Information
NPI: 1992063556
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AUER
FirstName: MELISSA
MiddleName: SUE
NamePrefix: MS.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 783311
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191783311
CountryCode: US
TelephoneNumber: 4848844500
FaxNumber: 4848840699
Practice Location
Address1: 2649 SCHOENERSVILLE RD STE 201
Address2:  
City: BETHLEHEM
State: PA
PostalCode: 180177316
CountryCode: US
TelephoneNumber: 4848848110
FaxNumber: 6108685333
Other Information
ProviderEnumerationDate: 05/01/2012
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XOT014475PAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XOS016975PAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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