Individual provider · Type 1 NPI

Stacey Fornarotto, PA

Medical Physician Assistant · Bethlehem, PA

NPI number 1245204247 Active

Practice location

2649 Schoenersville Rd, Ste 201
Bethlehem, PA 18017-7326

Fax (610) 868-5333

Mailing address

PO Box 1754
Allentown, PA 18105-1754

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XMP20000 (NJ)
Medical Physician Assistant Primary 363AM0700XMA002023L (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1245204247

Stacey Fornarotto, PA's National Provider Identifier is 1245204247, issued on Feb 15, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bethlehem, PA. The record was last updated on Sep 9, 2013.