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Organization

ST. LUKE'S PHYSICIAN GROUP, INC.

Active
Other names
St. Luke's General Surgery Bethlehem
Organization subpart
No

Provider details

NPI number
Authorized official
TAMI GIGLIO (ENROLLMENT SPECIALIST)
(484) 526-3571
Entity
Organization

Contact information

Practice address
701 OSTRUM ST STE 202, FOUNTAIN HILL, PA 18015-1152
(484) 526-2200
(484) 526-2398
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-2200
(484) 526-2398

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
PA
2086S0102X
Surgical Critical Care Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007307530230
PA
Enumeration date
02/12/2007
Last updated
08/25/2021
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