# RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rutgers Health-RWJ Pediatric Pulmonary
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659311132
- **Authorized official:** BRENDA LAWRENCE (DIRECTOR OF REVENUE CYCLE)
- **Authorized official phone:** (732) 235-6070

## Contact information

- **Practice address:** 89 FRENCH ST, SUITE 2300, NEW BRUNSWICK, NJ 08901-1935
- **Practice address phone:** (732) 235-7899
- **Practice address fax:** (732) 235-7077
- **Mailing address:** 66 W GILBERT ST, RED BANK, NJ 07701
- **Mailing address phone:** (732) 212-0051
- **Mailing address fax:** (732) 212-0713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0214X | Pediatric Pulmonology Physician | — | NULL | Yes |
| 2080P0214X | Pediatric Pulmonology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 01/19/2021