Provider Demographics
NPI:1649569286
Name:ST LUKES HOSPITAL
Entity Type:Organization
Organization Name:ST LUKES HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMERGENCY MEDICINE RESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EVAMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUERRIERI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-827-1373
Mailing Address - Street 1:763 N RINGGOLD ST APT A
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-2509
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:763 N RINGGOLD ST
Practice Address - Street 2:APT A
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19130-2509
Practice Address - Country:US
Practice Address - Phone:609-827-1373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital