Healthcare Provider Details

I. General information

NPI: 1598001240
Provider Name (Legal Business Name): SPRING TOWNSHIP PRIMARY CARE ST. LUKE'S
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2012
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 PENN AVE
SINKING SPRING PA
19608-8621
US

IV. Provider business mailing address

2701 SHILLINGTON RD
SINKING SPRING PA
19608-1732
US

V. Phone/Fax

Practice location:
  • Phone: 610-670-2522
  • Fax: 610-670-7736
Mailing address:
  • Phone: 484-658-6500
  • Fax: 484-822-9440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JOHN M MANUBAY
Title or Position: OWNER
Credential: MD
Phone: 610-670-2522