Organization
RIDER UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC TERRY (CREDENTIALING MANAGER)
(972) 367-4835
Entity
Organization
Contact information
Practice address
2083 LAWRENCEVILLE RD, LAWRENCEVILLE, NJ 08648-3001
(609) 209-0763
Mailing address
2083 LAWRENCEVILLE RD, LAWRENCEVILLE, NJ 08648-3001
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2013
Last updated
12/10/2013
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