# ST. LUKE'S PHYSICIAN GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ST. LUKE'S SURGICAL ASSOCIATES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306946553
- **Authorized official:** DEAN W EVANS (PRESIDENT)
- **Authorized official phone:** (610) 954-4991

## Contact information

- **Practice address:** 800 OSTRUM ST, STE307E, FOUNTAIN HILL, PA 18015-1015
- **Practice address phone:** (610) 954-2200
- **Practice address fax:** (610) 954-6459
- **Mailing address:** 623 E BROAD ST, 2ND FLR, BETHLEHEM, PA 18018-6332
- **Mailing address phone:** (610) 954-6048
- **Mailing address fax:** (610) 954-3189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0127X | Trauma Surgery Physician | — | PA | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 08/22/2020