Organization
ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN CHIAVAROLI (MANAGER)
(484) 526-3569
Entity
Organization
Contact information
Practice address
123A ROSEBERRY ST, PHILLIPSBURG, NJ 08865-1629
(484) 526-7555
(866) 281-9054
Mailing address
755 MEMORIAL PKWY, PHILLIPSBURG, NJ 08865-2748
(484) 526-7555
(866) 281-9054
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0678198
—
NJ
Enumeration date
03/12/2013
Last updated
04/03/2023
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