Organization
UMDNJ RWJ NEURO PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE PENZYNSKI (CREDENTIALING MANAGER)
(732) 212-0051
Entity
Organization
Contact information
Practice address
125 PATERSON ST, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7733
Mailing address
66 WEST GILBERT ST, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3456200
—
NJ
Enumeration date
02/22/2007
Last updated
04/20/2008
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