# UMDNJ RWJ TOBACCO DEPENDENCE PROGRAM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144393794
- **Authorized official:** CAROLE PENZYNSKI (CREDENTIALING MANAGER)
- **Authorized official phone:** (732) 212-0061

## Contact information

- **Practice address:** 317 GEORGE ST, SUITE 210, NEW BRUNSWICK, NJ 08901-2008
- **Practice address phone:** (732) 235-8222
- **Practice address fax:** (732) 235-8298
- **Mailing address:** 66 W GILBERT ST, RED BANK, NJ 07701
- **Mailing address phone:** (732) 212-0051
- **Mailing address fax:** (732) 212-0713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 01/11/2008