# ST. LUKE'S WARREN PHYSICIAN GROUP, PC

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

## Provider details

- **NPI number:** 1699253344
- **Authorized official:** JAMIE L THOMAS DO (OWNER)
- **Authorized official phone:** (908) 847-6702

## Contact information

- **Practice address:** 755 MEMORIAL PKWY STE 302A, PHILLIPSBURG, NJ 08865
- **Practice address phone:** (484) 526-7300
- **Practice address fax:** (866) 449-5832
- **Mailing address:** 185 ROSEBERRY ST, 2ND FLOOR FARLEY BLDG, PHILLIPSBURG, NJ 08865
- **Mailing address phone:** (908) 847-2621
- **Mailing address fax:** (908) 847-3045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

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