Organization
ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE THOMAS (VP OF MEDICAL AFFAIRS)
(908) 847-2621
Entity
Organization
Contact information
Practice address
755 MEMORIAL PKWY STE 302, PHILLIPSBURG, NJ 08865-2771
(908) 847-2621
(908) 847-3045
Mailing address
185 ROSEBERRY ST, PHILLIPSBURG, NJ 08865-1690
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
04/30/2018
Last updated
05/08/2018
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