| St. Luke's Physician Group, Inc. | |
|
330 N Best Ave Walnutport PA 18088-1205 | |
| (610) 760-8080 | |
| (610) 760-8148 |
| Full Name | St. Luke's Physician Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 330 N Best Ave, Walnutport, 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. 330 N Best Ave Walnutport PA 18088-1205 Ph: (610) 760-8080 |
| NPI Number | 1992801898 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 04/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992801898 | NPI | - | NPPES |
| 1007307530259 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Pennsylvania) | Primary |
Cressman And Yablonski Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 N Best Ave, Walnutport, PA 18088 Phone: 610-760-7044 Fax: 610-760-7044 |