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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 DO (VICE PRESIDENT OF MEDICAL AFFAIRS)
(908) 847-6702
Entity
Organization
Contact information
Practice address
37 RUPELL RD, HAMPTON, NJ 08827-4017
(908) 735-7060
(908) 735-9922
Mailing address
37 RUPELL RD, HAMPTON, NJ 08827-4017
(908) 735-7060
(866) 289-8938
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029921
—
NJ
Enumeration date
07/14/2014
Last updated
03/27/2019
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