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Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Other names
South Bethlehem Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH W MINAHAN (PRESIDENT)
(484) 526-6162
Entity
Organization
Contact information
Practice address
306 S NEW ST STE 302, BETHLEHEM, PA 18015-1652
(484) 526-1093
(610) 866-1132
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-6048
(484) 526-6500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068277
MEDICARE GROUP
PA
Enumeration date
07/27/2006
Last updated
09/18/2018
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