| St. Luke's Warren Physician Group, Pc | |
|
410 Coventry Dr Phillipsburg NJ 08865-1978 | |
| (908) 454-9902 | |
| (908) 454-9905 |
| Full Name | St. Luke's Warren Physician Group, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 410 Coventry Dr, Phillipsburg, New Jersey |
| Authorized Official Name and Position | Gerard J Delmonico (PRESIDENT) |
| Authorized Official Contact | 9088351910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Warren Physician Group, Pc Po Box 27957 Salt Lake City UT 84127-0957 Ph: (908) 835-1910 | St. Luke's Warren Physician Group, Pc 410 Coventry Dr Phillipsburg NJ 08865-1978 Ph: (908) 454-9902 |
| NPI Number | 1326389925 |
|---|---|
| Provider Enumeration Date | 03/06/2013 |
| Last Update Date | 07/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326389925 | NPI | - | NPPES |
| CJ2448 | Other | NJ | RR MEDICARE |
| 0029921 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (New Jersey) | Primary |
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St. Luke's Warren Physician Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 755 Memorial Pkwy, Suite 300, Phillipsburg, NJ 08865 Phone: 908-454-6306 Fax: 908-454-2289 | |
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