Organization
ST LUKE'S PHYSICIAN GROUP INC
Active
Parent organization
ST LUKE'S PHYSICIAN GROUP INC
Other names
St Luke's Acute Pain Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKE'S PHYSICIAN GROUP INC
Authorized official
SUE CHIAVAROLI (SUPERVISOR ENROLLMENTS)
(484) 526-3569
Entity
Organization
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4000
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4000
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
PA
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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