St. Luke'S Physician Group INC
Neurological Surgery in Fountain Hill, PA. Organization (NPI-2).
NPI number1073532016
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1073532016
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Luke'S Physician Group INC
- Organization subpart
- No
- Enumeration date
- Jul 19, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | – | – | Yes |
Other names
- Allen Neurosurgical Association (Doing Business As)
Practice location
830 Ostrum StFountain Hill, PA 18015-1013
Phone 610-954-9005 · Fax 610-954-9410
Mailing address
623 E Broad St2nd Flr
Bethlehem, PA 18018-6332
Phone 610-954-6048 · Fax 610-954-3189
Authorized official
Dean W Evans
President
6109544991
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