St. Luke's Southside Medical Center | |
511 E 3rd St Suite 200 Bethlehem PA 18015-2072 | |
(484) 526-4700 | |
Not Available |
Full Name | St. Luke's Southside Medical Center |
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Speciality | Internal Medicine |
Location | 511 E 3rd St, Bethlehem, Pennsylvania |
Authorized Official Name and Position | Thomas Lichtenwalner (VICE PRESIDENT) |
Authorized Official Contact | 4845263301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St. Luke's Southside Medical Center 801 Ostrum St Bethlehem PA 18015-1000 Ph: (610) 954-6048 | St. Luke's Southside Medical Center 511 E 3rd St Suite 200 Bethlehem PA 18015-2072 Ph: (484) 526-4700 |
NPI Number | 1285728386 |
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Provider Enumeration Date | 10/03/2006 |
Last Update Date | 04/23/2012 |
Identifier | Type | State | Issuer |
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1285728386 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (Pennsylvania) | Primary |
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