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Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Other names
SOUTH MOUNTAIN FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W EVANS (PRESIDENT)
(610) 954-4991
Entity
Organization
Contact information
Practice address
1545 BROADWAY, BETHLEHEM, PA 18015-3901
(610) 865-6112
(610) 865-3307
Mailing address
1545 BROADWAY, BETHLEHEM, PA 18015-3901
(610) 865-6112
(610) 865-3307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
310400000X
Assisted Living Facility
—
PA
Other
Enumeration date
09/21/2006
Last updated
05/11/2010
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