Organization
GSLPG INC
Active
Other names
Geisinger St. Luke's Specialty Services
Organization subpart
No
Provider details
NPI number
Authorized official
SUE CHIAVAROLI (CVO SUPERVISOR)
(484) 526-3569
Entity
Organization
Contact information
Practice address
1165 CENTRE TPKE, ORWIGSBURG, PA 17961-9343
(272) 639-4990
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
2080S0010X
Pediatric Sports Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/22/2023
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