Organization
ST. LUKE'S PHYSICIAN GROUP INC.
Active
Parent organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Other names
St. Luke's Pediatric Cardiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. LUKE'S PHYSICIAN GROUP, INC.
Authorized official
DEAN EVANS (PRESIDENT)
(484) 526-4999
Entity
Organization
Contact information
Practice address
7001 N ROUTE 309, COOPERSBURG, PA 18036-1109
(484) 526-4999
Mailing address
7001 N ROUTE 309, COOPERSBURG, PA 18036-1109
(484) 526-4999
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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