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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
MICHELLE BECKFORD (SENIOR BUISNESS MANAGER)
(973) 353-3693
Entity
Organization
Contact information
Practice address
449 BROAD ST, NEWARK, NJ 07102-3224
(973) 732-6040
Mailing address
PO BOX 829766, PHILADELPHIA, PA 19182-9766
(732) 235-6057
(732) 235-7446
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
Other
Enumeration date
04/30/2018
Last updated
09/29/2025
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