# ROWANSOM NMI REHABILITATION MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UMDNJ-SOM Dept of Physical Medicine & Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366412306
- **Authorized official:** MICHAEL RIEKER (INTERIM CHIEF FINANCIAL OFFICIER)
- **Authorized official phone:** (856) 770-5729

## Contact information

- **Practice address:** 42 EAST LAUREL ROAD, UDP, SUITE 1700, STRATFORD, NJ 08084
- **Practice address phone:** (856) 566-7010
- **Practice address fax:** (856) 566-6956
- **Mailing address:** PO BOX 635, BELLMAWR, NJ 08099-0635
- **Mailing address phone:** (856) 566-6706
- **Mailing address fax:** (856) 566-2797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 01/24/2006
- **Last updated:** 05/15/2013