Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Other names
Tirun A. Gopal, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W. EVANS (PRESIDENT)
(610) 954-3383
Entity
Organization
Contact information
Practice address
250 CETRONIA RD, SUITE 305, ALLENTOWN, PA 18104-9147
(610) 432-9003
(610) 432-7769
Mailing address
250 CETRONIA RD, SUITE 305, ALLENTOWN, PA 18104-9147
(610) 432-9003
(610) 432-7769
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007307530066
—
PA
Enumeration date
06/19/2006
Last updated
02/27/2009
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