Organization
RESPACARE,PA
Active
Other names
Respacare,PA
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA DIANE TRUJILLO (ADMINISTRATOR)
(732) 356-9950
Entity
Organization
Contact information
Practice address
489 UNION AVE, BRIDGEWATER, NJ 08807-3489
(732) 356-9950
(732) 356-9959
Mailing address
489 UNION AVE, BRIDGEWATER, NJ 08807-3489
(732) 356-9950
(732) 356-9959
Taxonomy
Speciality
Code
Description
License number
State
173F00000X
Sleep Specialist (PhD)
—
—
174400000X
Specialist
Primary
—
—
207KA0200X
Allergy Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679676266
—
NJ
05
—
1790008787
—
NJ
05
—
1982806915
—
NJ
Enumeration date
07/29/2021
Last updated
07/29/2021
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