Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Other names
St. Luke's Quakertown Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W. EVANS (PRESIDENT)
(610) 954-3383
Entity
Organization
Contact information
Practice address
1021 PARK AVE, QUAKERTOWN, PA 18951-1573
(215) 538-4610
(215) 529-5291
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(610) 954-3383
(610) 954-6500
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007307530220
—
PA
Enumeration date
08/14/2006
Last updated
04/15/2010
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