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Organization

ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA BERSHAD (PRESIDENT & CEO)
(732) 369-5994
Entity
Organization

Contact information

Practice address
3 EXECUTIVE DRIVE, SUITE 400, SOMERSET, NJ 08873
(732) 369-5994
(732) 369-5993
Mailing address
3 EXECUTIVE DRIVE, SUITE 400, SOMERSET, NJ 08873
(732) 369-5994
(732) 369-5993

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207QS0010X
Sports Medicine (Family Medicine) Physician
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
207RC0001X
Clinical Cardiac Electrophysiology Physician
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RG0100X
Gastroenterology Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
207RP1001X
Pulmonary Disease Physician
207UN0901X
Nuclear Cardiology Physician
207V00000X
Obstetrics & Gynecology Physician
261QU0200X
Urgent Care Clinic/Center
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
367A00000X
Advanced Practice Midwife

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0319392
NJ
Enumeration date
08/13/2012
Last updated
05/08/2017
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