Healthcare Provider Details
I. General information
NPI: 1760390637
Provider Name (Legal Business Name): ST. LUKE'S SPECIALTY ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1600 ST LUKES BLVD
EASTON PA
18045-5671
US
IV. Provider business mailing address
801 OSTRUM ST
BETHLEHEM PA
18015-1000
US
V. Phone/Fax
- Phone: 484-503-4673
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RX0202X |
| Taxonomy | Medical Oncology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086X0206X |
| Taxonomy | Surgical Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SUSAN
CHIAVAROLI
Title or Position: MANAGER
Credential:
Phone: 484-526-3569