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Organization

ST. LUKE'S PHYSICIAN GROUP, INC.

Active
Parent organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Other names
St. Luke's Pediatric Allergy Specialists
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
2571 BAGLYOS CIR STE B29, BETHLEHEM, PA 18020-8050
(484) 503-0235
Mailing address
77 S COMMERCE WAY, BETHLEHEM, PA 18017-8891
(484) 526-4999

Taxonomy

Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary

Other

Enumeration date
01/28/2021
Last updated
01/28/2021
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