Organization
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL DENTAL SUITE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE S. REID DDS (DIRECTOR, DENTAL SUITE)
(732) 937-8653
Entity
Organization
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, DENTAL SUITE, NEW BRUNSWICK, NJ 08901-1928
(732) 937-8653
(732) 253-3575
Mailing address
1 ROBERT WOOD JOHNSON PL, DENTAL SUITE, NEW BRUNSWICK, NJ 08901-1928
(732) 937-8653
(732) 253-3575
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DI019921
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4137710
—
NJ
Enumeration date
01/09/2007
Last updated
12/15/2011
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