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Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Parent organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Other names
St. Luke's Psychiatric Associates - NASD
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. LUKE'S PHYSICIAN GROUP, INC.
Authorized official
SUE CHIAVAROLI (ENROLLMENT SUPERVISOR)
(484) 526-3569
Entity
Organization
Contact information
Practice address
1617 LAUBACH AVE, NORTHAMPTON, PA 18067-1517
(484) 526-2400
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
NULL
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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