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Organization
SAINT PETER'S HEALTHCARE SYSTEM PHYSICIAN ASSOCIATES
Active
Organization
SAINT PETER'S HEALTHCARE SYSTEM PHYSICIAN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARRICK J. STOLDT (CHIEF FINANCIAL OFFICER)
(732) 745-6651
Entity
Organization
Contact information
Practice address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-6651
(732) 745-7938
Mailing address
240 EASTON AVENUE, THIRD FLOOR MANAGED CARE DEPARTMENT, NEW BRUNSWICK, NJ 08901-1766
(732) 565-5453
(732) 249-9572
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0301647
—
NJ
Enumeration date
03/18/2011
Last updated
03/11/2020
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