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ST. LUKE'S PHYSICIAN GROUP INC. NPI 1013495332


NPI Information

NPI: 1013495332
Provider Name: ST. LUKE'S PHYSICIAN GROUP, INC.

Doing Business As: ST. LUKE'S PEDIATRIC NEUROLOGY

Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
306 S NEW ST STE 303
BETHLEHEM, PA
ZIP 18015
Phone: (484) 526-5580
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ST. LUKE'S PHYSICIAN GROUP, INC. is a neurology with special qualifications in child neurology psychiatry neurology in Bethlehem, PA. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. ST. LUKE'S PHYSICIAN GROUP, INC. NPI is 1013495332. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Luke's Pediatric Neurology.

The provider's business location address is:

306 S NEW ST STE 303
BETHLEHEM, PA
ZIP 18015-652
Phone: (484) 526-5580
Fax: (833) 214-7525

The provider's authorized official is Joseph Minahan .
The authorized official title is President and has the following contact phone number (484) 526-6162.

The enumeration date for this NPI number is 7/30/2018 and was last updated on 8/4/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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