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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 Emergency Physician Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W. EVANS (PRESIDENT)
(484) 526-3383
Entity
Organization
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4500
(484) 526-6674
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4500
(484) 526-6674
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007307530271
—
PA
01
—
831674
MEDICARE (QUAKERTOWN LOCATION)
PA
Enumeration date
05/20/2006
Last updated
05/28/2019
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