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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
SUE CHIAVAROLI (ENROLLMENT MANAGER)
(484) 526-3569
Entity
Organization
Contact information
Practice address
200 STRYKERS RD, PHILLIPSBURG, NJ 08865-9488
(908) 847-1035
(908) 847-1040
Mailing address
185 ROSEBERRY ST, FARLEY BLDG., 2ND FLOOR, PHILLIPSBURG, NJ 08865
(908) 847-2621
(908) 847-3045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/07/2018
Last updated
08/05/2024
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