| |
41 Community Dr Easton PA 18045-2668 | |
(610) 252-8037 | |
(610) 252-1861 |
Full Name | |
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Speciality | Family Medicine |
Location | 41 Community Dr, Easton, Pennsylvania |
Authorized Official Name and Position | Dean W Evans (PRESIDENT) |
Authorized Official Contact | 4845264911 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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801 Ostrum St Bethlehem PA 18015-1000 Ph: (484) 526-6048 | 41 Community Dr Easton PA 18045-2668 Ph: (610) 252-8037 |
NPI Number | 1063784254 |
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Provider Enumeration Date | 02/02/2012 |
Last Update Date | 02/02/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063784254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Pennsylvania) | Primary |
207Q00000X | Family Medicine | (New Jersey) | Secondary |
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St. Luke's Physician Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 352 Northampton St, Easton, PA 18042 Phone: 484-526-6048 Fax: 833-213-6428 | |
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