| |
414 Northampton St Easton PA 18042-3516 | |
(610) 559-2175 | |
(610) 559-2195 |
Full Name | |
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Speciality | Obstetrics & Gynecology |
Location | 414 Northampton St, Easton, Pennsylvania |
Authorized Official Name and Position | Dean W Evans (PRESIDENT) |
Authorized Official Contact | 4845264991 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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414 Northampton St Easton PA 18042-3516 Ph: (610) 559-2175 | 414 Northampton St Easton PA 18042-3516 Ph: (610) 559-2175 |
NPI Number | 1114305141 |
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Provider Enumeration Date | 05/11/2015 |
Last Update Date | 05/11/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114305141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
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St. Luke's Physician Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 352 Northampton St, Easton, PA 18042 Phone: 484-526-6048 Fax: 833-213-6428 | |
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