Organization
BRICK WOMEN'S PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL L VETTER MD (PRESIDENT)
(732) 202-0700
Entity
Organization
Contact information
Practice address
1140 BURNT TAVERN RD, SUITE 2A, BRICK, NJ 08724-1496
(732) 202-0700
Mailing address
1140 BURNT TAVERN RD, SUITE 2A, BRICK, NJ 08724-1496
(732) 202-0700
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1328036
AMERIHEALTH PPO
NJ
01
—
2021255000
AMERIHEALTH HMO/POS
NJ
01
—
2608694
AETNA USHC
NJ
05
—
8646708
—
NJ
Enumeration date
07/27/2006
Last updated
02/29/2008
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