Organization
UNIVERSITY OF MEDICINE & DENTISTRY OF NEW JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN A HENDRICKS NP C (WOMENS HEALTH NURSE PRACTITIONER)
(973) 972-9043
Entity
Organization
Contact information
Practice address
150 BERGEN ST, G102 FXB CLINIC, NEWARK, NJ 07103-2496
(973) 972-9043
Mailing address
150 BERGEN ST, G102 FXB CLINIC, NEWARK, NJ 07103-2496
(973) 972-9043
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
26NJ00156800
NJ
282NW0100X
Women's Hospital
Primary
26NJ00156800
NJ
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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