Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Other names
St. Luke's Pediatric Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
SUE CHIAVAROLI (MANAGER)
(484) 526-3569
Entity
Organization
Contact information
Practice address
701 OSTRUM ST, SUITE 102, FOUNTAIN HILL, PA 18015-1155
(484) 526-7575
(484) 526-7570
Mailing address
701 OSTRUM ST, SUITE 102, FOUNTAIN HILL, PA 18015-1155
(484) 526-7575
(484) 526-7570
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Enumeration date
08/20/2012
Last updated
10/13/2022
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