Organization
ST. LUKE'S PHYSICIAN GROUP INC.
Active
Organization
ST. LUKE'S PHYSICIAN GROUP INC.
Active
Other names
St. Luke's ENT Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN CHIAVAROLI (MANAGER)
(484) 526-3569
Entity
Organization
Contact information
Practice address
120 PINE ST, SUITE B, TAMAQUA, PA 18252
(570) 645-1580
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
12/21/2016
Last updated
06/17/2026
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