Organization
SAINT PETER'S HEALTHCARE SYSTEM PHYSICIAN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARRICK J. STOLDT (CHIEF FINANCIAL OFFICER)
(732) 745-6651
Entity
Organization
Contact information
Practice address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-6651
(732) 745-7938
Mailing address
240 EASTON AVENUE, THIRD FLOOR MANAGED CARE DEPARTMENT, NEW BRUNSWICK, NJ 08901-1766
(732) 565-5453
(732) 249-9572
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0301647
—
NJ
Enumeration date
03/18/2011
Last updated
03/11/2020
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