St. Luke's Physician Group, INC

NPI #1801232962 in Stroudsburg, Pennsylvania

Provider Information

NPI Number: 1801232962
Entity Type: Organization
Organization Name: St. Luke's Physician Group, INC
Primary Specialty: Pediatrics
Enumeration Date: May 16, 2013
Last Updated: Feb 7, 2018

Practice Location

Address: 208 LIFELINE RD STE 201
City: Stroudsburg
State: Pennsylvania
ZIP Code: 18360-6473
Phone: (570) 476-6700

Authorized Official

Name: DEAN W EVANS
Title: PRESIDENT
Phone: (484) 526-4991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics - Adolescent Medicine — Adolescent Medicine	2080A0000X
Pediatrics	208000000X	Primary

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