Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Other names
St. Luke's Pediatric Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MINAHAN (PRESIDENT)
(484) 526-6162
Entity
Organization
Contact information
Practice address
306 S NEW ST STE 303, BETHLEHEM, PA 18015-1652
(484) 526-5580
(833) 214-7525
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4999
(833) 213-6428
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Enumeration date
07/30/2018
Last updated
08/04/2020
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