# RUTGERS, THE STATE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RUTGERS, THE STATE UNIVERSITY
- **Other names:** Rutgers Student Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538531157
- **Legal business name:** RUTGERS, THE STATE UNIVERSITY
- **Authorized official:** DR. MELODEE LASKY M.D. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (848) 932-7402

## Contact information

- **Practice address:** 11 BISHOP PL, NEW BRUNSWICK, NJ 08901-1178
- **Practice address phone:** (848) 932-9056
- **Practice address fax:** (732) 932-1525
- **Mailing address:** PO BOX 18999, NEWARK, NJ 07191-8999
- **Mailing address phone:** (848) 932-9056
- **Mailing address fax:** (732) 932-1525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2015
- **Last updated:** 11/02/2016