Organization
ST LUKE'S PHYSICIAN GROUP, INC
Active
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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