| St. Luke's Physician Group, Inc. | |
|
257 Brodhead Rd Bethlehem PA 18017-8938 | |
| (484) 822-5700 | |
| Not Available |
| Full Name | St. Luke's Physician Group, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 257 Brodhead Rd, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Sue Chiavaroli (MANAGER) |
| Authorized Official Contact | 4845263569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Physician Group, Inc. 801 Ostrum St Bethlehem PA 18015-1000 Ph: (484) 526-2400 | St. Luke's Physician Group, Inc. 257 Brodhead Rd Bethlehem PA 18017-8938 Ph: (484) 822-5700 |
| NPI Number | 1326061581 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 05/05/2023 |
| Certification Date | 05/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326061581 | NPI | - | NPPES |
| 1007307530002 | Medicaid | PA |
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