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Organization
SAINT LUKE'S CATHOLIC MEDICAL SERVICES
Active
Organization
SAINT LUKE'S CATHOLIC MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN IDLER (PRACTICE ADMINISTRATOR)
(856) 342-4131
Entity
Organization
Contact information
Practice address
511 STATE ST, CAMDEN, NJ 08102-1918
(856) 365-4642
(856) 365-0539
Mailing address
511 STATE ST, CAMDEN, NJ 08102-1918
(856) 365-4642
(856) 365-0539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MB064729
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0865285001
AMERIHEALTH
NJ
01
—
10681
AETNA
NJ
05
—
8442002
—
NJ
01
—
DD5461
RAILROAD MEDICARE
NJ
Enumeration date
06/14/2007
Last updated
06/02/2015
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