Organization
ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN KEMMERER (MANAGER)
(484) 526-2019
Entity
Organization
Contact information
Practice address
59 ROSEBERRY ST, PHILLIPSBURG, NJ 08865-1627
(908) 847-4025
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7123604
—
NJ
Enumeration date
02/10/2012
Last updated
07/15/2021
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