| NPI | 1568190486 |
|---|---|
| Doing Business As | HANOVER FAMILY MEDICAL GROUP ST. LUKE'S SACRED HEART |
| Entity Type | Organization |
| Authorized Contact | JOSEPH MINAHAN President 484-526-6048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-08-09 |