| St. Luke's Brodheadsville Family Practice | |
|
111 Route 715 Ste 101 Brodheadsville PA 18322-7101 | |
| (272) 212-0435 | |
| (272) 212-0437 |
| Full Name | St. Luke's Brodheadsville Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 111 Route 715 Ste 101, Brodheadsville, Pennsylvania |
| Authorized Official Name and Position | Dean W Evans (PRESIDENT) |
| Authorized Official Contact | 4845264911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Brodheadsville Family Practice 801 Ostrum St Bethlehem PA 18015-1000 Ph: (484) 526-6048 | St. Luke's Brodheadsville Family Practice 111 Route 715 Ste 101 Brodheadsville PA 18322-7101 Ph: (272) 212-0435 |
| NPI Number | 1275636185 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 01/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275636185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Pennsylvania) | Primary |
Lvpg Family Medicine - Brodheadsville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Burrus Blvd, Brodheadsville, PA 18322 Phone: 570-420-6300 Fax: 570-402-2920 | |
Frank Gary Romascavage Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Route 209, Brodheadsville, PA 18322 Phone: 570-992-5500 Fax: 570-992-2035 | |
My Family Doctor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Route 209, Weir Lake Rd, Brodheadsville, PA 18322 Phone: 610-681-3300 |