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Organization
RWJBH PRIMARY CARE SERVICES
Active
Organization
RWJBH PRIMARY CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MITCHELL (DIRECTOR OF CREDENTIALING)
(732) 867-9618
Entity
Organization
Contact information
Practice address
95 OLD SHORT HILLS RD, WEST ORANGE, NJ 07052-1008
(973) 322-5000
Mailing address
3 EXECUTIVE DR STE 400, SOMERSET, NJ 08873-4007
(732) 867-9618
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/03/2020
Last updated
10/15/2025
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