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Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Other names
Fountain Hill Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W. EVANS (PRESIDENT)
(610) 954-3383
Entity
Organization
Contact information
Practice address
1021 PARK AVE, QUAKERTOWN, PA 18951-1573
(215) 538-4713
(215) 538-4704
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(610) 954-3383
(610) 954-6500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007307530170
—
PA
Enumeration date
12/21/2006
Last updated
08/22/2020
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