# UNIVERSITY OF MEDICINE & DENTISTRY OF NEW JERSEY

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

## Provider details

- **NPI number:** 1407019185
- **Authorized official:** MRS. KATHLEEN A HENDRICKS NP C (WOMENS HEALTH NURSE PRACTITIONER)
- **Authorized official phone:** (973) 972-9043

## Contact information

- **Practice address:** 150 BERGEN ST, G102 FXB CLINIC, NEWARK, NJ 07103-2496
- **Practice address phone:** (973) 972-9043
- **Mailing address:** 150 BERGEN ST, G102 FXB CLINIC, NEWARK, NJ 07103-2496
- **Mailing address phone:** (973) 972-9043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 26NJ00156800 | NJ | — |
| 282NW0100X | Women's Hospital | 26NJ00156800 | NJ | Yes |

## Other

- **Enumeration date:** 07/03/2008
- **Last updated:** 07/03/2008