| St. Luke's Physician Group Inc | |
|
1251 Turnstone Drive Suite 120 Fogelsville PA 18051-1713 | |
| (484) 822-5150 | |
| (484) 822-5160 |
| Full Name | St. Luke's Physician Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1251 Turnstone Drive, Fogelsville, Pennsylvania |
| Authorized Official Name and Position | Dean W Evans (PRESIDENT) |
| Authorized Official Contact | 4845264911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Physician Group Inc 801 Ostrum St Bethlehem PA 18015-1000 Ph: (610) 336-4676 | St. Luke's Physician Group Inc 1251 Turnstone Drive Suite 120 Fogelsville PA 18051-1713 Ph: (484) 822-5150 |
| NPI Number | 1326492257 |
|---|---|
| Provider Enumeration Date | 04/18/2016 |
| Last Update Date | 04/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326492257 | NPI | - | NPPES |
| 686024 | Other | PA | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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