Organization
ST LUKE'S PHYSICIAN GROUP, INC
Active
Other names
St. Luke's Dermatopathology
Organization subpart
No
Provider details
NPI number
Authorized official
ELISHA AMEY ENROLLMENT (ENROLLMENT SPECIALIST)
(484) 526-2538
Entity
Organization
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-7764
(484) 526-6791
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-2538
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/15/2019
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