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
1469 8TH AVE, BETHLEHEM, PA 18018-2256
(484) 526-7800
(484) 526-7810
Mailing address
1469 8TH AVE, BETHLEHEM, PA 18018-2256
(484) 526-7800
(484) 526-7810
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007307530176
—
PA
Enumeration date
06/15/2006
Last updated
08/18/2021
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