| St. Luke's Physician Group, Inc. | |
|
3213 Nazareth Rd Palmer Township PA 18045-2000 | |
| (610) 559-2060 | |
| (610) 559-2064 |
| Full Name | St. Luke's Physician Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 3213 Nazareth Rd, Palmer Township, Pennsylvania |
| Authorized Official Name and Position | Dean W Evans (PRESIDENT) |
| Authorized Official Contact | 6109544991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Physician Group, Inc. 623 E Broad St 2nd Flr Bethlehem PA 18018-6332 Ph: (610) 954-6048 | St. Luke's Physician Group, Inc. 3213 Nazareth Rd Palmer Township PA 18045-2000 Ph: (610) 559-2060 |
| NPI Number | 1841331303 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 04/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841331303 | NPI | - | NPPES |
| 1007307530256 | Medicaid | PW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Pennsylvania) | Primary |