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Organization
ST LUKE'S PHYSICIAN GROUP INC
Active
Organization
ST LUKE'S PHYSICIAN GROUP INC
Active
Other names
St. Luke's Podiatry Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SUE CHIAVAROLI (SUPERVISOR)
(484) 526-3569
Entity
Organization
Contact information
Practice address
303 W BROAD ST, BETHLEHEM, PA 18018-5526
(610) 865-0311
(610) 865-9458
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-3569
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
08/25/2021
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