Organization
ST LUKE'S PHYSICIAN GROUP, INC
Active
Other names
St. Luke's General Surgery Palmerton
Organization subpart
No
Provider details
NPI number
Authorized official
SUE CHIAVAROLI (SUPERVISOR ENROLLMENTS)
(484) 526-3569
Entity
Organization
Contact information
Practice address
255 DELAWARE AVE, PALMERTON, PA 18071-1812
(610) 826-4595
(610) 826-4399
Mailing address
255 DELAWARE AVE, PALMERTON, PA 18071-1812
(610) 826-4595
(610) 826-4399
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
06/13/2019
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