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Organization

ST. LUKE'S PHYSICIAN GROUP INC.

Active
Other names
St. Luke's ENT Associates
Organization subpart
No

Provider details

NPI number
Authorized official
JOE MINAHAN (PRESIDENT)
(484) 526-4911
Entity
Organization

Contact information

Practice address
120 PINE ST, SUITE B, TAMAQUA, PA 18252
(570) 645-1580
Mailing address
120 PINE ST, SUITE B, TAMAQUA, PA 18252-1409
(570) 645-1580

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
12/21/2016
Last updated
07/05/2018
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