ST LUKE'S PHYSICIAN GROUP INC NPI 1598417404

NPI Information

ST LUKE'S PHYSICIAN GROUP, INC is a surgical physician assistant in Bethlehem, PA. ST LUKE'S PHYSICIAN GROUP, INC NPI is 1598417404. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

801 OSTRUM ST
BETHLEHEM, PA
ZIP 18015-000
Phone: (484) 526-4641
Fax: (484) 526-3028

The provider's authorized official is Elisha Amey .
The authorized official title is Provider Enrollment Specialist and has the following contact phone number (484) 526-2538.

The enumeration date for this NPI number is 1/21/2022 and was last updated on 1/21/2022.

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:

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