| NPI | 1023746211 |
|---|---|
| Doing Business As | ST. LUKE'S WARREN SURGICAL ADVANCE PRACTICE SERVICE |
| Entity Type | Organization |
| Authorized Contact | SUE CHIAVAROLI Enrollment Manager 484-526-3569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |