Organization
ST LUKE'S PHYSICIAN GROUP INC
Active
Other names
St. Luke's OMS
Organization subpart
No
Provider details
NPI number
Authorized official
SUE CHIAVAROLI (ENROLLMENT MANAGER)
(484) 526-3569
Entity
Organization
Contact information
Practice address
1521 8TH AVE, SUITE 100, BETHLEHEM, PA 18018-1865
(610) 865-8077
(610) 865-8112
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4000
(610) 865-8112
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/06/2006
Last updated
09/13/2023
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