Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Other names
St. Luke's Cardiovascular Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W. EVANS (PRESIDENT)
(484) 526-4991
Entity
Organization
Contact information
Practice address
701 OSTRUM STREET, SUITE 603, BETHLEHEM, PA 18015-1153
(484) 526-3990
(610) 868-2915
Mailing address
701 OSTRUM STREET, SUITE 603, BETHLEHEM, PA 18015-1184
(484) 526-3990
(610) 868-2915
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD046699L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007307530136
—
PA
Enumeration date
05/17/2006
Last updated
01/25/2018
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