Organization
ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD DELMONICO MD (OWNER)
(908) 859-6568
Entity
Organization
Contact information
Practice address
123B ROSEBERRY ST, PHILLIPSBURG, NJ 08865-1629
(908) 213-3433
(908) 213-3647
Mailing address
PO BOX 780932, PHILADELPHIA, PA 19178-0932
(908) 213-3433
(908) 213-3647
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7123604
—
NJ
Enumeration date
04/17/2014
Last updated
01/26/2018
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