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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 FAMILY PRACTICE WIND GAP
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W EVANS (ENROLLMENT COORDINATOR)
(610) 954-4991
Entity
Organization
Contact information
Practice address
131 S BROADWAY, WIND GAP, PA 18091-1425
(610) 863-7888
(610) 863-1081
Mailing address
801 OSTRUM ST, ENROLLMENT CENTER, BETHLEHEM, PA 18015-1000
(610) 863-7888
(610) 863-1081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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