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Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Other names
Medical Associates Of The Pocono Mountains
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN EVANS (PRESIDENT)
(610) 954-4991
Entity
Organization
Contact information
Practice address
237 E BROWN ST, EAST STROUDSBURG, PA 18301-3005
(570) 422-1405
(570) 424-6631
Mailing address
237 E BROWN ST, EAST STROUDSBURG, PA 18301-3005
(570) 422-1405
(570) 424-6631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01913100
—
PA
01
—
BS ME1389283
GROUP NUMBER
—
Enumeration date
11/08/2006
Last updated
04/22/2010
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