# ST. LUKE'S WARREN PHYSICIAN GROUP, PC

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

## Provider details

- **NPI number:** 1538631056
- **Authorized official:** SUSAN CHIAVAROLI (MANAGER)
- **Authorized official phone:** (484) 526-3569

## Contact information

- **Practice address:** 123B ROSEBERRY ST, PHILLIPSBURG, NJ 08865-1629
- **Practice address phone:** (484) 526-6200
- **Practice address fax:** (833) 222-9421
- **Mailing address:** 801 OSTRUM ST, BETHLEHEM, PA 18015-1000
- **Mailing address phone:** (484) 526-4000
- **Mailing address fax:** (908) 847-3045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/21/2018
- **Last updated:** 06/26/2026
