ST. LUKE'S PHYSICIAN GROUP INC NPI 1164563029

NPI Information

ST. LUKE'S PHYSICIAN GROUP INC is a pediatric surgery surgery in Bethlehem, PA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. ST. LUKE'S PHYSICIAN GROUP INC NPI is 1164563029. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St. Luke's Pediatric Surgery.

The provider's business location address is:

153 BRODHEAD RD
BETHLEHEM, PA
ZIP 18017-931
Phone: (610) 954-4975
Fax: (610) 954-6485

The provider's authorized official is Dean W Evans .
The authorized official title is President and has the following contact phone number (691) 954-4991.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 8/22/2020.

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:

Other Identifiers

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