Organization
ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE CHIAVAROLI (SUPERVISOR ENROLLMENTS)
(484) 526-3569
Entity
Organization
Contact information
Practice address
185 ROSEBERRY ST, PHILLIPSBURG, NJ 08865-1690
(908) 859-6700
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-3569
(908) 835-1924
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/28/2012
Last updated
10/03/2018
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