Organization
RWJ RAHWAY CARECENTER, LLC
Active
Parent organization
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY
Authorized official
MR. KIRK TICE (PRESIDENT & CEO)
(732) 499-6086
Entity
Organization
Contact information
Practice address
300 SOUTH AVE, GARWOOD, NJ 07027-1312
(225) 363-2172
(225) 363-2278
Mailing address
300 SOUTH AVE, GARWOOD, NJ 07027-1312
(908) 232-1439
(908) 232-1439
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
25MB074721
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0239208
—
NJ
Enumeration date
08/25/2009
Last updated
09/02/2010
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