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Organization
ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Active
Organization
ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD J DELMONICO MD (PRESIDENT)
(908) 835-1910
Entity
Organization
Contact information
Practice address
410 COVENTRY DR, PHILLIPSBURG, NJ 08865-1978
(908) 454-9902
(908) 454-9905
Mailing address
PO BOX 27957, SALT LAKE CITY, UT 84127-0957
(908) 835-1910
(908) 835-1924
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029921
—
NH
01
—
CJ2448
RR MEDICARE
NJ
Enumeration date
03/06/2013
Last updated
07/09/2015
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