# RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rutgers Health-RWJ OB/GYN Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790726149
- **Authorized official:** BRENDA LAWRENCE (DIRECTOR OF REVENUE CYCLE)
- **Authorized official phone:** (732) 235-6070

## Contact information

- **Practice address:** 125 PATERSON ST, SUITE 4200, NEW BRUNSWICK, NJ 08901-1962
- **Practice address phone:** (732) 235-6600
- **Practice address fax:** (732) 235-6650
- **Mailing address:** 66 WEST 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 |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 01/19/2021