Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Parent organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Other names
St. Luke's Pediatric Critical Care Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. LUKE'S PHYSICIAN GROUP, INC.
Authorized official
SUE CHIAVAROLI (ENROLLMENT SUPERVISOR)
(484) 526-3569
Entity
Organization
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4999
(833) 213-6248
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4999
(833) 213-6248
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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