St Luke's Physician Group Inc
St Luke's Physician Group Inc is an Anesthesiology Physician in Coaldale, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.
- Licensed in
- PA
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
360 W Ruddle StCoaldale, PA 18218-1027
Phone: (570) 645-8121
Fax: (570) 645-8875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiology Physician (primary) | Taxonomy 207L00000X · Licence MD034814L (PA) |
|---|---|
| Pain Medicine (Anesthesiology) Physician | Taxonomy 207LP2900X · Licence MD034814L (PA) |
Record details
| NPI number | 1528132107 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Smita Mody — Anesthesiologist · (570) 645-8121 |
| NPI enumerated | November 17, 2006 |
| Last updated in NPPES | December 18, 2007 |
| Mailing address | 360 W Ruddle St, Coaldale, PA 18218-1027 |
Other providers in Coaldale
-
Idona C Umali, MD
360 W Ruddle St, Coaldale, PA 18218-1027 · (570) 645-8256