| St. Luke's Physician Group, Inc | |
|
2550 Pa Route 100 Suite 220 Macungie PA 18062-9652 | |
| (610) 628-7111 | |
| (833) 820-1003 |
| Full Name | St. Luke's Physician Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2550 Pa Route 100, Macungie, Pennsylvania |
| Authorized Official Name and Position | Dean Evans (PRESIDENT) |
| Authorized Official Contact | 6109544911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Physician Group, Inc 801 Ostrum St Enrollment Center Bethlehem PA 18015-1000 Ph: (610) 954-6048 | St. Luke's Physician Group, Inc 2550 Pa Route 100 Suite 220 Macungie PA 18062-9652 Ph: (610) 628-7111 |
| NPI Number | 1750683546 |
|---|---|
| Provider Enumeration Date | 11/30/2010 |
| Last Update Date | 04/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750683546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Pennsylvania) | Primary |
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