Organization
ST LUKE'S PHYSICIAN GROUP INC
Active
Other names
St. Luke's Childrens' Choice Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN EVANS (PRESIDENT)
(484) 526-5731
Entity
Organization
Contact information
Practice address
514 DELAWARE AVE, FOUNTAIN HILL, PA 18015-1104
(610) 865-6545
(610) 758-9595
Mailing address
514 DELAWARE AVE, FOUNTAIN HILL, PA 18015-1104
(610) 865-6545
(610) 758-9595
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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