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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 Pediatric Rheumatology
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. LUKE'S PHYSICIAN GROUP, INC.
Authorized official
SUE CHIAVAROLI (ENROLLMENT SUPERVISOR)
(484) 526-3569
Entity
Organization
Contact information
Practice address
7001 N ROUTE 309, COOPERSBURG, PA 18036-1109
(484) 822-5088
Mailing address
77 S COMMERCE WAY, BETHLEHEM, PA 18017-8891
(484) 526-4999
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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