Organization
ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD J DELMONICO MD (PRESIDENT)
(908) 859-6568
Entity
Organization
Contact information
Practice address
755 MEMORIAL PKWY, SUITE 106, PHILLIPSBURG, NJ 08865-2748
(610) 252-8281
(610) 253-5321
Mailing address
755 MEMORIAL PKWY STE 102, PHILLIPSBURG, NJ 08865-2774
(484) 503-8281
(833) 816-5612
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7123604
—
NJ
Enumeration date
01/25/2012
Last updated
02/01/2018
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