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Organization

ST. LUKE'S PHYSICIAN GROUP, INC.

Active
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Organization

ST. LUKE'S PHYSICIAN GROUP, INC.

Active
Parent organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Other names
St. Luke's Psychiatric Associates - Parkland ASD Springhouse Middle Sc
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST. LUKE'S PHYSICIAN GROUP, INC.
Authorized official
SUE CHIAVAROLI (CVO ENROLLMENT SUPERVISOR)
(484) 526-3569
Entity
Organization

Contact information

Practice address
1200 SPRINGHOUSE RD, ALLENTOWN, PA 18104-2119
(610) 351-5700
Mailing address
77 S COMMERCE WAY, BETHLEHEM, PA 18017-8891

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
01/25/2021
Last updated
01/25/2021
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