Dr ELSPETH GWENDOLEN BLACK is a female medical professional, specializing in Family Medicine. She graduated in 2016.
ST LUKES PHYSICIAN GROUP INC
4059 JANDY BLVD
SUITE 103
NAZARETH
PA
180648893
Tel: 4845036450
| Npi | 1386096840 |
| Pac Id | 5991088288 |
| Professional Enrollment Id | I20190819000385 |
| Last Name | BLACK |
| First Name | ELSPETH |
| Middle Name | GWENDOLEN |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2016 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
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| Organization Legal Name | ST LUKES PHYSICIAN GROUP INC |
| Group Practice Pac Id | 6709798333 |
| Number Of Group Practice Members | 1144 |
| Line 1 Street Address | 4059 JANDY BLVD |
| Line 2 Street Address | SUITE 103 |
| Marker Of Address Line 2 Suppression | |
| City | NAZARETH |
| State | PA |
| Zip Code | 180648893 |
| Phone Number | 4845036450 |
| Hospital Affiliation Ccn 1 | 390049 |
| Hospital Affiliation Lbn 1 | ST LUKE'S HOSPITAL BETHLEHEM |
| Hospital Affiliation Ccn 2 | 390326 |
| Hospital Affiliation Lbn 2 | ST LUKE'S HOSPITAL - ANDERSON CAMPUS |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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