Healthcare Provider Details

I. General information

NPI: 1740212091
Provider Name (Legal Business Name): WARREN HEALTH CARE ALLIANCE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 02/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 STRYKERS RD
PHILLIPSBURG NJ
08865-5401
US

IV. Provider business mailing address

10 BRASS CASTLE RD
WASHINGTON NJ
07882-4327
US

V. Phone/Fax

Practice location:
  • Phone: 908-859-6568
  • Fax: 908-859-6697
Mailing address:
  • Phone: 908-835-1910
  • Fax: 908-835-1886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GERARD J DELMONICO
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 908-859-6568