Organization
ST. LUKES HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA T ROSKO (EXECUTIVE DIRECTOR, SLPHO)
(610) 954-4132
Entity
Organization
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(610) 954-4000
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(610) 954-4000
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
451201
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007552510051
—
PA
Enumeration date
10/03/2006
Last updated
10/26/2011
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