| St. Luke's Physician Group, Inc. | |
|
208 Lifeline Rd Suite 203 Stroudsburg PA 18360-6473 | |
| (484) 526-4999 | |
| Not Available |
| Full Name | St. Luke's Physician Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 208 Lifeline Rd, Stroudsburg, Pennsylvania |
| Authorized Official Name and Position | Dean W Evans (PRESIDENT) |
| Authorized Official Contact | 4845264991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Physician Group, Inc. 208 Lifeline Rd Suite 203 Stroudsburg PA 18360-6473 Ph: () - | St. Luke's Physician Group, Inc. 208 Lifeline Rd Suite 203 Stroudsburg PA 18360-6473 Ph: (484) 526-4999 |
| NPI Number | 1629489562 |
|---|---|
| Provider Enumeration Date | 05/14/2014 |
| Last Update Date | 05/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629489562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD065140L (Pennsylvania) | Primary |
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