St. Luke'S Physician Group, INC.
Obstetrics & Gynecology in Allentown, PA. Organization (NPI-2).
NPI number1043306756
StatusActive
Last updated in NPPESJan 24, 2018
Details
- NPI
- 1043306756
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Luke'S Physician Group, INC.
- Organization subpart
- No
- Enumeration date
- Oct 4, 2006
- Last updated
- Jan 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
Practice location
322 S 17th StAllentown, PA 18104-6709
Phone 610-434-4015 · Fax 610-435-4821
Mailing address
322 S 17th StAllentown, PA 18104-6709
Phone 610-434-4015 · Fax 610-435-4821
Authorized official
Dean W. Evans
President
4845264991
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