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Organization

ST. LUKE'S PHYSICIAN GROUP, INC.

Active
Other names
St. Luke's Trauma Associates
Organization subpart
No

Provider details

NPI number
Authorized official
SUE CHIAVAROLI (CVO SUPERVISOR)
(484) 526-3569
Entity
Organization

Contact information

Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-2200
(484) 526-6459
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-2200
(484) 526-6459

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2086S0102X
Surgical Critical Care Physician
2086S0127X
Trauma Surgery Physician
Primary
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007307530035
PA
Enumeration date
11/22/2006
Last updated
08/25/2021
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