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General NPI Number Information
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NPI Number | 1134465388
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Entity Type | Organization
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Legal Business Name | ST. LUKE'S WARREN PHYSICIAN GROUP, PC
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Dates
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Enumeration Date | 12/17/2012
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Last Update Date | 01/29/2018
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Provider Practice Location Address
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Address Line | 755 MEMORIAL PKWY SUITE 300
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-2748
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Country | US
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Telephone | 908-454-6306
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Fax | 908-454-2289
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Provider Business Mailing Address
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Address Line | 755 MEMORIAL PKWY STE 300
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-2748
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Country | US
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Telephone | 908-454-6303
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Fax | 866-281-6023
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GERARD DELMONICO
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Credential | MD
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Telephone | 908-859-6568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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