St. Luke'S Physician Group INC.
Obstetrics & Gynecology in Bethlehem, PA. Organization (NPI-2).
NPI number1124472345
StatusActive
Last updated in NPPESJan 24, 2018
Details
- NPI
- 1124472345
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Luke'S Physician Group INC.
- Organization subpart
- No
- Enumeration date
- Apr 14, 2016
- Last updated
- Jan 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
Practice location
685 Delaware AveBethlehem, PA 18015
Phone 484-526-7060 · Fax 484-526-7061
Mailing address
685 Delaware AveBethlehem, PA 18015
Phone 484-526-7060 · Fax 484-526-7061
Other practice locations
685 Delaware Ave
Bethlehem, PA 18015
Bethlehem, PA 18015
Phone 484-526-7060 · Fax 484-526-7061
Authorized official
Dean W. Evans
President
4845267060
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