Organization
ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE CHIAVAROLI (ENROLLMENT SUPERVISOR)
(484) 526-3569
Entity
Organization
Contact information
Practice address
315 ROUTE 31 SOUTH, WASHINGTON, NJ 07882
(484) 503-7546
(833) 214-0129
Mailing address
77 S COMMERCE WAY, BETHLEHEM, PA 18017-8891
(484) 526-3830
(833) 213-6428
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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