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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 Bangor Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
SUE CHIAVAROLI (MANAGER)
(484) 526-3569
Entity
Organization
Contact information
Practice address
434 BLUE VALLEY DR, BANGOR, PA 18013-1525
(484) 526-4000
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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