Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE CHIAVAROLI (CVO SUPERVISOR)
(484) 526-3569
Entity
Organization
Contact information
Practice address
1600 ST LUKES BLVD, EASTON, PA 18045-5671
(484) 503-4500
(484) 503-4501
Mailing address
1600 ST LUKES BLVD, EASTON, PA 18045-5671
(484) 503-4500
(484) 503-4501
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
2086X0206X
Surgical Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007307530011
—
PA
Enumeration date
08/03/2006
Last updated
08/18/2021
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