Organization
UMDNJ RWJ PEDIATRIC DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE PENZYNSKI (CREDENTIALING MANAGER)
(732) 212-0051
Entity
Organization
Contact information
Practice address
89 FRENCH STREET, SUITE 2300 CHILDRENS HEALTH INSTITUTE OF NEW JERSEY, NEW BRUNSWICK, NJ 08901
(732) 235-6625
(732) 235-5002
Mailing address
66 WEST GILBERT ST, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
Primary
—
—
Other
Enumeration date
02/21/2007
Last updated
01/11/2008
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