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Organization
RUTGERS, THE STATE UNIVERSITY
Active
Organization
RUTGERS, THE STATE UNIVERSITY
Active
Parent organization
RUTGERS, THE STATE UNIVERSITY
Other names
Rutgers Student Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUTGERS, THE STATE UNIVERSITY
Authorized official
DR. MELODEE LASKY M.D. (EXECUTIVE DIRECTOR)
(848) 932-7402
Entity
Organization
Contact information
Practice address
11 BISHOP PL, NEW BRUNSWICK, NJ 08901-1178
(848) 932-9056
(732) 932-1525
Mailing address
PO BOX 18999, NEWARK, NJ 07191-8999
(848) 932-9056
(732) 932-1525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/22/2015
Last updated
11/02/2016
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