Organization
RUTGERS HEALTH-RWJ PEDIATRIC CRITICAL CARE
Active
Other names
Rutgers Health-RWJ Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA SUSAN LAWRENCE (DIRECTOR OF REVENUE CYCLE)
(732) 235-6070
Entity
Organization
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, PATHOLOGY DEPARTMENT, NEW BRUNSWICK, NJ 08901-1928
(732) 828-3000
Mailing address
66 WEST GILBERT ST, RED BANK, NJ 07702
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3451208
—
NJ
Enumeration date
07/28/2006
Last updated
01/22/2021
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