St. Luke'S Physician Group, INC
Dermatology in Easton, PA. Organization (NPI-2).
NPI number1821573619
StatusActive
Last updated in NPPESAug 18, 2021
Details
- NPI
- 1821573619
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Luke'S Physician Group, INC
- Organization subpart
- No
- Enumeration date
- Sep 27, 2018
- Certification date
- Aug 18, 2021
- Last updated
- Aug 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Other names
- St. Luke'S Dermatology Associates (Doing Business As)
Practice location
1600 St Lukes Blvd Ste 100Easton, PA 18045-5671
Phone 484-526-7546 · Fax 484-503-6223
Mailing address
801 Ostrum StBethlehem, PA 18015-1000
Phone 484-526-4000
Other practice locations
511 E 3rd St Ste 200
Bethlehem, PA 18015-2072
Bethlehem, PA 18015-2072
Phone 484-526-3569
834 Eaton Ave Ste 201
Bethlehem, PA 18018-1832
Bethlehem, PA 18018-1832
Phone 484-526-3569
Authorized official
Sue Chiavaroli
Cvo Supervisor
4845263569
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