# ST. LUKE'S WARREN PHYSICIAN GROUP, PC

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

## Provider details

- **NPI number:** 1801162631
- **Authorized official:** JAMIE THOMAS (OWNER)
- **Authorized official phone:** (908) 847-2621

## Contact information

- **Practice address:** 755 MEMORIAL PKWY, BLDG 200, SUITE 201, PHILLIPSBURG, NJ 08865-2748
- **Practice address phone:** (908) 859-8884
- **Practice address fax:** (908) 859-6841
- **Mailing address:** 755 MEMORIAL PKWY BLDG SUITE201, PHILLIPSBURG, NJ 08865-2748
- **Mailing address phone:** (908) 847-8884
- **Mailing address fax:** (833) 204-9604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2012
- **Last updated:** 09/07/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7123604 | — | NJ |