# ST LUKE'S PHYSICIAN GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST LUKE'S PHYSICIAN GROUP INC
- **Other names:** St Luke's Acute Pain Service
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992294045
- **Legal business name:** ST LUKE'S PHYSICIAN GROUP INC
- **Authorized official:** SUE CHIAVAROLI (SUPERVISOR ENROLLMENTS)
- **Authorized official phone:** (484) 526-3569

## Contact information

- **Practice address:** 801 OSTRUM ST, BETHLEHEM, PA 18015-1000
- **Practice address phone:** (484) 526-4000
- **Mailing address:** 801 OSTRUM ST, BETHLEHEM, PA 18015-1000
- **Mailing address phone:** (484) 526-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | PA | Yes |

## Other

- **Enumeration date:** 05/04/2018
- **Last updated:** 05/04/2018