Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE CHIAVAROLI (CVO SUPERVISOR)
(484) 526-3569
Entity
Organization
Contact information
Practice address
701 OSTRUM ST STE 201, FOUNTAIN HILL, PA 18015-1152
(484) 526-6545
(484) 526-6546
Mailing address
701 OSTRUM ST STE 201, FOUNTAIN HILL, PA 18015-1152
(484) 526-6545
(484) 526-6546
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
08/06/2012
Last updated
08/18/2021
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