Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa M Fedullo, MD

Individual provider Diagnostic Radiology Physician · NPI 1033153440

Lisa M Fedullo, MD is a Diagnostic Radiology in Bethlehem, Pennsylvania. Graduated from Temple University School of Medicine in 1981, 45 years ago. Practices with Progressive Physician Assoc Inc, a 163-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
45
Trained at
Temple University School of Medicine
Licensed in
PA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

425 Brighton St #303
Bethlehem, PA 18015-1273
Phone: (610) 868-1100
Fax: (610) 868-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD027576E (PA)

Record details

NPI number1033153440
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESFebruary 14, 2014
Mailing address425 Brighton St, 303, Bethlehem, PA 18015-1273

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1981 (45 years in practice)
Group practice Progressive Physician Assoc Inc — 163 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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