Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Other names
Hanover Family Medical Group St. Luke's Sacred Heart
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MINAHAN (PRESIDENT)
(484) 526-6048
Entity
Organization
Contact information
Practice address
1208 HANOVER AVE, ALLENTOWN, PA 18109-2017
(610) 437-6490
(610) 437-4151
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-6048
(833) 213-6428
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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