Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Other names
St. Luke's Pulmonary Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W EVANS (PRESIDENT)
(484) 526-3383
Entity
Organization
Contact information
Practice address
709 DELAWARE AVE, FOUNTAIN HILL, PA 18015-1107
(484) 526-3890
(866) 829-9836
Mailing address
709 DELAWARE AVE, FOUNTAIN HILL, PA 18015-1107
(484) 526-3890
(866) 829-9836
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033001
MEDICARE
PA
05
—
1007307530272
—
PA
Enumeration date
06/19/2006
Last updated
05/28/2019
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