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Organization

UMDNJ RWJ TOBACCO DEPENDENCE PROGRAM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLE PENZYNSKI (CREDENTIALING MANAGER)
(732) 212-0061
Entity
Organization

Contact information

Practice address
317 GEORGE ST, SUITE 210, NEW BRUNSWICK, NJ 08901-2008
(732) 235-8222
(732) 235-8298
Mailing address
66 W GILBERT ST, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713

Taxonomy

Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
11/15/2006
Last updated
01/11/2008
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