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Organization

ST. LUKE'S PHYSICIAN GROUP, INC.

Active
Parent organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Other names
St. Luke's Pediatric Nephrology
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST. LUKE'S PHYSICIAN GROUP, INC.
Authorized official
DEAN EVANS (PRESIDENT)
(484) 526-4999
Entity
Organization

Contact information

Practice address
834 EATON AVE STE 301, BETHLEHEM, PA 18018-1832
(484) 526-7780
(833) 816-7518
Mailing address
834 EATON AVE STE 301, BETHLEHEM, PA 18018-1832
(484) 526-7780
(833) 816-7518

Taxonomy

Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary

Other

Enumeration date
05/10/2019
Last updated
05/10/2019
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