St. Luke's Physician Group, INC

NPI #1124685425 in Coaldale, Pennsylvania

Provider Information

NPI Number: 1124685425
Entity Type: Organization
Organization Name: St. Luke's Physician Group, INC
Primary Specialty: Surgery
Enumeration Date: May 22, 2019
Last Updated: Aug 25, 2021

Practice Location

Address: 360 W RUDDLE ST
City: Coaldale
State: Pennsylvania
ZIP Code: 18218-1027
Phone: (484) 526-2200

Authorized Official

Name: TAMI GIGLIO
Title: ENROLLMENT SPECIALIST
Phone: (484) 526-3571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Surgical Critical Care — Surgical Critical Care	2086S0102X
Surgery	208600000X	Primary

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