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
755 MEMORIAL PKWY STE 101B, PHILLIPSBURG, NJ 08865-2774
(484) 503-0055
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4000
(866) 691-7526
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054621
MEDICARE
NJ
05
—
7123604
—
NJ
Enumeration date
11/17/2016
Last updated
06/26/2026
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