Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Other names
St. Luke's Sacred Heart Pediatric and Adolescent Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH W MINAHAN (PRESIDENT)
(484) 526-6162
Entity
Organization
Contact information
Practice address
450 CHEW ST FL 2, ALLENTOWN, PA 18102-3434
(610) 776-4767
(610) 606-4475
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-6048
(833) 213-6428
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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