St. Luke's Physician Group, Inc. | |
3420 Walbert Ave Unit 100 Allentown PA 18104-1700 | |
(610) 530-8413 | |
(610) 530-8418 |
Full Name | St. Luke's Physician Group, Inc. |
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Speciality | Family Medicine |
Location | 3420 Walbert Ave Unit 100, Allentown, Pennsylvania |
Authorized Official Name and Position | Joseph W Minahan (PRESIDENT) |
Authorized Official Contact | 4845266162 |
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 Bethlehem PA 18015-1000 Ph: (484) 526-6048 | St. Luke's Physician Group, Inc. 3420 Walbert Ave Unit 100 Allentown PA 18104-1700 Ph: (610) 530-8413 |
NPI Number | 1669956397 |
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Provider Enumeration Date | 09/19/2018 |
Last Update Date | 09/19/2018 |
Identifier | Type | State | Issuer |
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1669956397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |