NPI | 1063003598 |
---|---|
Doing Business As | ST. LUKE'S PEDIATRIC ALLERGY SPECIALISTS |
Entity Type | Organization |
Authorized Contact | SUE CHIAVAROLI Enrollment Supervisor 484-526-3569 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology |
Enumeration Date | 2021-01-28 |
Last Update Date | 2021-01-28 |