Organization
ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Active
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 105, PHILLIPSBURG, NJ 08865-2748
(908) 859-2793
Mailing address
10 BRASS CASTLE RD, WASHINGTON, NJ 07882-6309
(908) 835-1910
(908) 835-1924
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7123604
—
NJ
01
—
CJ2448
RR MEDICARE
NJ
Enumeration date
02/27/2012
Last updated
02/27/2012
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