Organization
ST LUKE'S PHYSICIAN GROUP INC
Active
Other names
St. Luke's Podiatry Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SUE CHIAVAROLI (SUPERVISOR)
(484) 526-3569
Entity
Organization
Contact information
Practice address
303 W BROAD ST, BETHLEHEM, PA 18018-5526
(610) 865-0311
(610) 865-9458
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-3569
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
08/25/2021
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