Organization
ST. LUKE'S PHYSICIAN GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W EVANS (PRESIDENT)
(484) 526-4991
Entity
Organization
Contact information
Practice address
208 LIFELINE RD STE 201, STROUDSBURG, PA 18360-6473
(570) 476-6700
(570) 476-0735
Mailing address
208 LIFELINE RD STE 201, STROUDSBURG, PA 18360-6473
(570) 476-6700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
PA
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
Other
Enumeration date
05/16/2013
Last updated
02/07/2018
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