St Luke's Physician Group INC

NPI #1528132107 in Coaldale, Pennsylvania

Provider Information

NPI Number: 1528132107
Entity Type: Organization
Organization Name: St Luke's Physician Group INC
Primary Specialty: Anesthesiology
Enumeration Date: Nov 17, 2006
Last Updated: Dec 18, 2007

Practice Location

Address: 360 W RUDDLE ST
City: Coaldale
State: Pennsylvania
ZIP Code: 18218-1027
Phone: (570) 645-8121

Authorized Official

Name: SMITA SATISH MODY, MD
Title: ANESTHESIOLOGIST
Phone: (570) 645-8121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X
Anesthesiology	207L00000X	Primary

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