# ST. LUKE'S WARREN PHYSICIAN GROUP, PC

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

## Provider details

- **NPI number:** 1578051116
- **Authorized official:** JAMIE THOMAS (VP OF MEDICAL AFFAIRS)
- **Authorized official phone:** (908) 847-2621

## Contact information

- **Practice address:** 755 MEMORIAL PKWY STE 302, PHILLIPSBURG, NJ 08865-2771
- **Practice address phone:** (908) 847-2621
- **Practice address fax:** (908) 847-3045
- **Mailing address:** 185 ROSEBERRY ST, PHILLIPSBURG, NJ 08865-1690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | Yes |
| 208600000X | Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 04/30/2018
- **Last updated:** 05/08/2018