Organization
RUTGERS UNIVERSITY DIAGNOSTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH RINAGGIO DDS (DIRECTOR)
(973) 972-4825
Entity
Organization
Contact information
Practice address
110 BERGEN ST, NEWARK, NJ 07103-2495
(973) 972-1646
(973) 972-3164
Mailing address
110 BERGEN ST, NEWARK, NJ 07103-2495
(973) 972-1646
(973) 972-3164
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1J3571
MEDICARE PTAN
NJ
Enumeration date
07/13/2007
Last updated
03/15/2023
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