| |
108 W Catawissa St Nesquehoning PA 18240-1511 | |
(570) 669-9990 | |
(570) 669-9995 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 108 W Catawissa St, Nesquehoning, Pennsylvania |
Authorized Official Name and Position | Dean W Evans (PRESIDENT) |
Authorized Official Contact | 6109544991 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
623 E Broad St 2nd Flr Bethlehem PA 18018-6332 Ph: (610) 954-6048 | 108 W Catawissa St Nesquehoning PA 18240-1511 Ph: (570) 669-9990 |
NPI Number | 1376693515 |
---|---|
Provider Enumeration Date | 01/11/2007 |
Last Update Date | 04/16/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376693515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Pennsylvania) | Primary |
St. Luke's Physician Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1114 E Catawissa St, Nesquehoning, PA 18240 Phone: 570-645-1920 Fax: 866-263-1962 | |
St. Luke's Physician Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 426 W Railroad St Ste 1, Nesquehoning, PA 18240 Phone: 484-526-6048 |