# ST. LUKE'S WARREN PHYSICIAN GROUP, PC

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

## Provider details

- **NPI number:** 1801364989
- **Authorized official:** SUE CHIAVAROLI (ENROLLMENT MANAGER)
- **Authorized official phone:** (484) 526-3569

## Contact information

- **Practice address:** 200 STRYKERS RD, PHILLIPSBURG, NJ 08865-9488
- **Practice address phone:** (908) 847-1035
- **Practice address fax:** (908) 847-1040
- **Mailing address:** 185 ROSEBERRY ST, FARLEY BLDG., 2ND FLOOR, PHILLIPSBURG, NJ 08865
- **Mailing address phone:** (908) 847-2621
- **Mailing address fax:** (908) 847-3045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 11/07/2018
- **Last updated:** 08/05/2024