Organization
ST. LUKE'S WARREN PHYSICIAN GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE THOMAS DO (VICE PRESIDENT OF MEDICAL AFFAIRS)
(908) 847-6702
Entity
Organization
Contact information
Practice address
37 RUPELL RD, HAMPTON, NJ 08827-4017
(908) 735-7060
(908) 735-9922
Mailing address
37 RUPELL RD, HAMPTON, NJ 08827-4017
(908) 735-7060
(866) 289-8938
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029921
—
NJ
Enumeration date
07/14/2014
Last updated
03/27/2019
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