| St. Luke's Warren Physician Group, Pc | |
|
59 Roseberry St Phillipsburg NJ 08865-1627 | |
| (908) 847-4025 | |
| Not Available |
| Full Name | St. Luke's Warren Physician Group, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 59 Roseberry St, Phillipsburg, New Jersey |
| Authorized Official Name and Position | Kristin Kemmerer (MANAGER) |
| Authorized Official Contact | 4845262019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Warren Physician Group, Pc 801 Ostrum St Bethlehem PA 18015-1000 Ph: (484) 526-4000 | St. Luke's Warren Physician Group, Pc 59 Roseberry St Phillipsburg NJ 08865-1627 Ph: (908) 847-4025 |
| NPI Number | 1841563574 |
|---|---|
| Provider Enumeration Date | 02/10/2012 |
| Last Update Date | 07/15/2021 |
| Certification Date | 07/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841563574 | NPI | - | NPPES |
| 7123604 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Secondary |
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