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Organization
ST LUKE'S PHYSICIAN GROUP, INC
Active
Organization
ST LUKE'S PHYSICIAN GROUP, INC
Active
Parent organization
ST LUKE'S PHYSICIAN GROUP, INC
Other names
St. Luke's Surgical Advanced Practice Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKE'S PHYSICIAN GROUP, INC
Authorized official
ELISHA AMEY (PROVIDER ENROLLMENT SPECIALIST)
(484) 526-2538
Entity
Organization
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4641
(484) 526-3028
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-2538
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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