Organization
ST. LUKE'S PHYSICIAN GROUP, INC
Active
Other names
St. Luke's Dermatology Associates
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 STE 100, EASTON, PA 18045-5671
(484) 526-7546
(484) 503-6223
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
08/18/2021
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