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Organization
ST. LUKE'S PHYSICIAN GROUP, INC
Active
Organization
ST. LUKE'S PHYSICIAN GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN EVANS (PRESIDENT)
(610) 954-4911
Entity
Organization
Contact information
Practice address
2550 PA ROUTE 100, SUITE 220, MACUNGIE, PA 18062-9652
(610) 628-7111
(833) 820-1003
Mailing address
801 OSTRUM ST, ENROLLMENT CENTER, BETHLEHEM, PA 18015-1000
(610) 954-6048
(610) 954-6500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
Other
Enumeration date
11/30/2010
Last updated
04/08/2019
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