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Organization

RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM

Active
Other names
Rutgers Health-RWJ Psychology
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA SUSAN LAWRENCE (DIRECTOR OF REVENUE CYCLE)
(732) 235-6070
Entity
Organization

Contact information

Practice address
671 HOES LN, PISCATAWAY, NJ 08854-5627
(732) 235-4402
(732) 235-4430
Mailing address
66 W GILBERT ST, RED BAML, NJ 07701
(732) 212-0051
(732) 212-0713

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3456200
NJ
Enumeration date
10/19/2006
Last updated
01/28/2021
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