St. Luke'S Physician Group, INC.
Family Medicine in Allentown, PA. Organization (NPI-2).
NPI number1669956397
StatusActive
Last updated in NPPESSep 19, 2018
Details
- NPI
- 1669956397
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Luke'S Physician Group, INC.
- Organization subpart
- No
- Enumeration date
- Sep 19, 2018
- Last updated
- Sep 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Practice location
3420 Walbert Ave Unit 100Allentown, PA 18104-1700
Phone 610-530-8413 · Fax 610-530-8418
Mailing address
801 Ostrum StBethlehem, PA 18015-1000
Phone 484-526-6048 · Fax 833-213-6428
Authorized official
Joseph W Minahan
President
4845266162
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