St. Luke's Physician Group, Inc | |
1114 E Catawissa St Nesquehoning PA 18240-1805 | |
(570) 645-1920 | |
(866) 263-1962 |
Full Name | St. Luke's Physician Group, Inc |
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Speciality | Internal Medicine |
Location | 1114 E Catawissa St, Nesquehoning, 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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St. Luke's Physician Group, Inc 1114 E Catawissa St Nesquehoning PA 18240-1805 Ph: (570) 645-1920 | St. Luke's Physician Group, Inc 1114 E Catawissa St Nesquehoning PA 18240-1805 Ph: (570) 645-1920 |
NPI Number | 1497152037 |
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Provider Enumeration Date | 11/25/2014 |
Last Update Date | 02/07/2018 |
Identifier | Type | State | Issuer |
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1497152037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | MD449942 (Pennsylvania) | Primary |
St. Luke's Physician Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 426 W Railroad St Ste 1, Nesquehoning, PA 18240 Phone: 484-526-6048 |