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Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Other names
Bushkill Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN CHIAVAROLI (MANAGER)
(484) 526-3569
Entity
Organization
Contact information
Practice address
497 BUSHKILL PLAZA LN, WIND GAP, PA 18091-9665
(610) 863-7020
(866) 833-9399
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(610) 863-7020
(866) 833-9399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007307530018
—
PA
Enumeration date
05/15/2006
Last updated
10/11/2022
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