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Organization

ST. LUKE'S PHYSICIAN GROUP INC

Active
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Organization

ST. LUKE'S PHYSICIAN GROUP INC

Active
Other names
St. Luke's Family Medicine- 25th Street
Organization subpart
No

Provider details

NPI number
Authorized official
SUE CHIAVAROLI (CVO SUPERVISOR)
(484) 526-3569
Entity
Organization

Contact information

Practice address
2461 NAZARETH RD, EASTON, PA 18045-2743
(610) 258-5300
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
03/23/2020
Last updated
03/27/2020
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