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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
JAMIE THOMAS (OWNER)
(908) 847-2621
Entity
Organization
Contact information
Practice address
755 MEMORIAL PKWY, BLDG 200, SUITE 201, PHILLIPSBURG, NJ 08865-2748
(908) 859-8884
(908) 859-6841
Mailing address
755 MEMORIAL PKWY BLDG SUITE201, PHILLIPSBURG, NJ 08865-2748
(908) 847-8884
(833) 204-9604
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7123604
—
NJ
Enumeration date
03/27/2012
Last updated
09/07/2018
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