| NPI | 1750918652 |
|---|---|
| Doing Business As | ST. LUKE'S FAMILY MEDICINE- 25TH STREET |
| Entity Type | Organization |
| Authorized Contact | SUE CHIAVAROLI Cvo Supervisor 484-526-3569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-27 |