St. Luke'S Physician Group, INC.
Family Medicine in Tamaqua, PA. Organization (NPI-2).
NPI number1255438529
StatusActive
Last updated in NPPESJun 24, 2021
Details
- NPI
- 1255438529
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Luke'S Physician Group, INC.
- Organization subpart
- No
- Enumeration date
- Sep 20, 2006
- Certification date
- Jun 24, 2021
- Last updated
- Jun 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | PA | Yes |
Practice location
143 N Railroad StTamaqua, PA 18252-1330
Phone 484-526-4000
Mailing address
801 Ostrum StBethlehem, PA 18015-1000
Phone 570-645-1540
Other practice locations
120 Pine St Ste B
Tamaqua, PA 18252-1409
Tamaqua, PA 18252-1409
Phone 570-645-1540
Authorized official
Susan Chiavaroli
Cvo Supervisor
4845263569
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