St. Luke's Physician Group Inc | |
1101 W Emaus Ave Allentown PA 18103-6676 | |
(610) 682-0624 | |
Not Available |
Full Name | St. Luke's Physician Group Inc |
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Speciality | Family Medicine |
Location | 1101 W Emaus Ave, Allentown, 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 |
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St. Luke's Physician Group Inc 801 Ostrum St Enrollment Dept Bethlehem PA 18015-1000 Ph: (484) 426-2020 | St. Luke's Physician Group Inc 1101 W Emaus Ave Allentown PA 18103-6676 Ph: (610) 682-0624 |
NPI Number | 1083025290 |
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Provider Enumeration Date | 05/12/2014 |
Last Update Date | 01/17/2018 |
Identifier | Type | State | Issuer |
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1083025290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |