# UMDNJ-SOM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861703605
- **Authorized official:** CARL MOGIL D.O. (DIRECTOR OF MEDICAL EDUCATION)
- **Authorized official phone:** (856) 566-6708

## Contact information

- **Practice address:** 147 WHITE CEDAR DR, SICKLERVILLE, NJ 08081-3424
- **Practice address phone:** (570) 436-2471
- **Mailing address:** 147 WHITE CEDAR DR, SICKLERVILLE, NJ 08081-3424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 06/26/2010
- **Last updated:** 07/29/2013