# ST. LUKE'S WARREN PHYSICIAN GROUP, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174193601
- **Authorized official:** SUE CHIAVAROLI (SUPERVISOR)
- **Authorized official phone:** (484) 526-3569

## Contact information

- **Practice address:** 123B ROSEBERRY ST, PHILLIPSBURG, NJ 08865-1629
- **Practice address phone:** (908) 847-8853
- **Mailing address:** 185 ROSEBERRY ST, FARLEY BLDG., 2ND FLOOR, PHILLIPSBURG, NJ 08865
- **Mailing address phone:** (908) 847-2621
- **Mailing address fax:** (908) 847-3045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2021
- **Last updated:** 06/28/2021