Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Parent organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Other names
St. Luke's Pediatric Pulmonology
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. LUKE'S PHYSICIAN GROUP, INC.
Authorized official
SUE CHIAVAROLI (ENROLLMENT SUPERVISOR)
(484) 526-3569
Entity
Organization
Contact information
Practice address
2571 BAGLYOS CIR STE B29, BETHLEHEM, PA 18020-8050
(484) 526-4000
Mailing address
801 OSTRUM STREET, CENTRAL VERIFICATION OFFICE, BETHLEHEM, PA 18015-1000
(484) 526-4999
(833) 213-6428
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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