Organization
RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY
Active
Parent organization
RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY
Other names
Rutgers Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY
Authorized official
MELODEE LASKY MD (EXECUTIVE DIRECTOR)
(732) 932-7402
Entity
Organization
Contact information
Practice address
11 BISHOP PL, NEW BRUNSWICK, NJ 08901-1178
(732) 932-7402
(732) 932-8255
Mailing address
PO BOX 5199, ABILENE, TX 79608-5199
(325) 437-8300
(325) 437-8390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07568400
NJ
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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