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Organization

RUTGERS, THAT STATE UNIVERSITY OF NEW JERSEY

Active
Parent organization
RUTGERS, THAT STATE UNIVERSITY OF NEW JERSEY
Other names
Rutgers Counseling & Psychological Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
RUTGERS, THAT STATE UNIVERSITY OF NEW JERSEY
Authorized official
MELODEE LASKY MD (DIRECTOR, HEALTH SVC)
(732) 932-7402
Entity
Organization

Contact information

Practice address
17 SENIOR ST, NEW BRUNSWICK, NJ 08901-8534
(732) 932-7884
(732) 932-8278
Mailing address
PO BOX 168007, IRVING, TX 75016-8007
(866) 890-6390
(469) 735-4640

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
09/08/2010
Last updated
09/08/2010
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