| St. Luke's Physician Group, Inc. | |
|
174 Harvest Ln Pocono Summit PA 18346-7761 | |
| (272) 639-5415 | |
| (272) 639-5431 |
| Full Name | St. Luke's Physician Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 174 Harvest Ln, Pocono Summit, Pennsylvania |
| Authorized Official Name and Position | Joseph Minahan (PRESIDENT) |
| Authorized Official Contact | 4845266048 |
| 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: (484) 526-4000 | St. Luke's Physician Group, Inc. 174 Harvest Ln Pocono Summit PA 18346-7761 Ph: (272) 639-5415 |
| NPI Number | 1144994740 |
|---|---|
| Provider Enumeration Date | 08/06/2021 |
| Last Update Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144994740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
St. Luke's Hospital Monroe Campus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 174 Harvest Ln, Pocono Summit, PA 18346 Phone: 484-526-4000 |