Organization
UMDNJ RWJ PEDIATRIC UROLOGY SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KLUGEWICZ (CREDENTIALING MANAGER)
(732) 212-0051
Entity
Organization
Contact information
Practice address
125 PATERSON ST, SUITE 4100, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7776
Mailing address
66 W GILBERT ST, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
02/08/2008
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