Organization
GSLPG INC
Active
Other names
Geisinger St. Luke's Orwigsburg Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
SUE CHIAVAROLI (CVO SUPERVISOR)
(484) 526-3569
Entity
Organization
Contact information
Practice address
209 E MARKET ST, ORWIGSBURG, PA 17961-1905
(570) 366-3885
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-6048
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
09/04/2020
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