Organization
UNIVERSITY NEUROSURGERY ASSOCIATES
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, UNIV NEURO ASSOCIATES SUITE 4100, NEW BRUNSWICK, NJ 08901-1962
(732) 906-0748
Mailing address
66 WEST GILBERT ST, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072125
—
NJ
Enumeration date
11/15/2006
Last updated
01/11/2008
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