Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Other names
St. Luke's Emergency Physician Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W. EVANS (PRESIDENT)
(484) 526-3383
Entity
Organization
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4500
(484) 526-6674
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4500
(484) 526-6674
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007307530271
—
PA
01
—
831674
MEDICARE (QUAKERTOWN LOCATION)
PA
Enumeration date
05/20/2006
Last updated
05/28/2019
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