# VA NEW JERSEY HEALTH CARE SYSTEM

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

## Provider details

- **NPI number:** 1942248695
- **Authorized official:** LUCI O. WILLIAMS RD (CLINICAL DIETITIAN)
- **Authorized official phone:** (973) 676-1000

## Contact information

- **Practice address:** 385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
- **Practice address phone:** (973) 676-1000
- **Practice address fax:** (973) 395-7042
- **Mailing address:** 109 GRAND AVE, UNIT 1 G, ENGLEWOOD, NJ 07631-3533
- **Mailing address phone:** (201) 541-6945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 463581 | NULL | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 03/03/2008
