| St. Luke's Pediatric Neurology | |
|
306 S New St Ste 303 Bethlehem PA 18015-1652 | |
| (484) 526-5580 | |
| (833) 214-7525 |
| Full Name | St. Luke's Pediatric Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 306 S New St Ste 303, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Joseph Minahan (PRESIDENT) |
| Authorized Official Contact | 4845266162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Pediatric Neurology 801 Ostrum St Bethlehem PA 18015-1000 Ph: (484) 526-4999 | St. Luke's Pediatric Neurology 306 S New St Ste 303 Bethlehem PA 18015-1652 Ph: (484) 526-5580 |
| NPI Number | 1013495332 |
|---|---|
| Provider Enumeration Date | 07/30/2018 |
| Last Update Date | 08/04/2020 |
| Certification Date | 08/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013495332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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