Organization
ST. LUKE'S PHYSICIAN GROUP INC
Active
Other names
ST. LUKE'S PEDIATRIC SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W EVANS (PRESIDENT)
(691) 954-4991
Entity
Organization
Contact information
Practice address
153 BRODHEAD RD, BETHLEHEM, PA 18017-8931
(610) 954-4975
(610) 954-6485
Mailing address
623 E BROAD ST, 2ND FLR, BETHLEHEM, PA 18018-6332
(610) 954-6048
(610) 954-3189
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PEDIATRIC SURGERY
PEDIATRIC SURGERY
PA
Enumeration date
02/12/2007
Last updated
08/22/2020
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