Organization
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM
Active
Other names
Rutgers Health-RWJ Environmental & Community Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA LAWRENCE (DIRECTOR OF REVENUE CYCLE)
(732) 235-6070
Entity
Organization
Contact information
Practice address
170 FRELINGHUYSEN RD, PISCATAWAY, NJ 08854-8020
(732) 445-0123
(732) 445-3644
Mailing address
66 W GILBERT ST, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3195104
—
NJ
Enumeration date
09/01/2006
Last updated
01/18/2021
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