Organization
CARBON-SCHUYLKILL COMMUNITY HOSPITAL, INC.
Active
Other names
St. Luke's Miner's Physician Assistants
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS LICHTENWALNER (SENIOR VICE PRESIDENT)
(610) 954-3301
Entity
Organization
Contact information
Practice address
360 W RUDDLE ST, COALDALE, PA 18218-1027
(570) 645-2131
Mailing address
360 W RUDDLE ST, COALDALE, PA 18218-1027
(570) 645-2131
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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