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Organization
RUTGERS NURSING FACULTY PRACTICE
Active
Organization
RUTGERS NURSING FACULTY PRACTICE
Active
Other names
Rutgers Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA NORBERG DNP,MS,RN (CEO)
(973) 972-5141
Entity
Organization
Contact information
Practice address
274 S ORANGE AVE FL 3, NEWARK, NJ 07103-2419
(973) 732-6040
(862) 902-7874
Mailing address
274 S ORANGE AVE FL 3, NEWARK, NJ 07103-2419
(973) 732-6040
(862) 902-7874
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0742791
—
NJ
Enumeration date
07/05/2012
Last updated
12/01/2021
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