Organization
RUTGERS NEW JERSEY MEDICAL SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL KOTHARI (PROGRAM DIRECTOR)
(973) 972-6056
Entity
Organization
Contact information
Practice address
150 BERGEN ST, UH I-248, NEWARK, NJ 07103-2496
(973) 972-6056
Mailing address
5 LAWRENCE ST, APT 415, BLOOMFIELD, NJ 07003-4631
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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