Organization
RARITAN BAY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA BRUG MD (MD)
(732) 324-3300
Entity
Organization
Contact information
Practice address
466 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3647
(732) 324-3300
(732) 952-8841
Mailing address
PO BOX 48270, NEWARK, NJ 07101-8470
(201) 818-9118
(732) 952-8841
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA05881000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4137817
—
NJ
Enumeration date
09/15/2010
Last updated
12/27/2012
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