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Organization
ROBERT WOOD JOHNSON MEDICAL ASSOCIATES AT HAMILTON PA
Active
Organization
ROBERT WOOD JOHNSON MEDICAL ASSOCIATES AT HAMILTON PA
Active
Other names
Care Station Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MINTZ (DIRECTOR OF FINANCE)
(732) 369-5967
Entity
Organization
Contact information
Practice address
328 W SAINT GEORGES AVE, LINDEN, NJ 07036-5638
(908) 925-2273
(908) 925-2235
Mailing address
PO BOX 352, LINDEN, NJ 07036-0352
(908) 925-7519
(908) 925-2842
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
—
NULL
2085U0001X
Diagnostic Ultrasound Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175006
MEDICARE PTAN
NJ
01
—
CL1465
RR MEDICARE
NJ
Enumeration date
12/17/2009
Last updated
02/02/2021
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