| St. Luke's Physician Group, Inc | |
|
1581 N 9th St Stroudsburg PA 18360-7576 | |
| (272) 212-4490 | |
| Not Available |
| Full Name | St. Luke's Physician Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1581 N 9th St, Stroudsburg, Pennsylvania |
| Authorized Official Name and Position | Sue Chiavaroli (CVO SUPERVISOR) |
| Authorized Official Contact | 4845263569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Physician Group, Inc 1803 W Main St Stroudsburg PA 18360-1027 Ph: (570) 421-0170 | St. Luke's Physician Group, Inc 1581 N 9th St Stroudsburg PA 18360-7576 Ph: (272) 212-4490 |
| NPI Number | 1679972376 |
|---|---|
| Provider Enumeration Date | 08/19/2014 |
| Last Update Date | 07/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679972376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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