Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W. EVANS (PRESIDENT)
(610) 954-3383
Entity
Organization
Contact information
Practice address
501 CETRONIA RD STE 120, ALLENTOWN, PA 18104-9569
(484) 426-2520
(866) 849-6463
Mailing address
501 CETRONIA RD STE 120, ALLENTOWN, PA 18104-9569
(484) 426-2520
(866) 849-6463
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007307530063
—
PA
Enumeration date
07/27/2006
Last updated
01/24/2018
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