St. Luke's Physician Group Inc.
NPI #1770028136 in Tamaqua, Pennsylvania
Provider Information
- NPI Number
- 1770028136
- Entity Type
- Organization
- Organization Name
- St. Luke's Physician Group Inc.
- Primary Specialty
- Otolaryngology
- Enumeration Date
- Dec 21, 2016
- Last Updated
- Jul 5, 2018
Practice Location
- Address
- 120 PINE ST
- Address 2
- SUITE B
- City
- Tamaqua
- State
- Pennsylvania
- ZIP Code
- 18252
- Phone
- (570) 645-1580
Authorized Official
- Name
- JOE MINAHAN
- Title
- PRESIDENT
- Phone
- (484) 526-4911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Otolaryngology |
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