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100 Community Dr Ste 102 Tobyhanna PA 18466-8986 | |
(570) 839-8754 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 100 Community Dr Ste 102, Tobyhanna, Pennsylvania |
Authorized Official Name and Position | Jennifer Stephens (SR VP & CHIEF VALUE OFFICER) |
Authorized Official Contact | 4848844500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2100 Mack Blvd Fl 4 Allentown PA 18103-5622 Ph: () - | 100 Community Dr Ste 102 Tobyhanna PA 18466-8986 Ph: (570) 839-8754 |
NPI Number | 1629833579 |
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Provider Enumeration Date | 02/20/2024 |
Last Update Date | 01/29/2025 |
Identifier | Type | State | Issuer |
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1629833579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
St Luke's Physician Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 354 Memorial Blvd, Tobyhanna, PA 18466 Phone: 484-526-2100 | |