Organization
RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY
Active
Other names
Rutgers University Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE JEITNER (ATHLETIC INSURANCE COORDINATOR)
(732) 445-6258
Entity
Organization
Contact information
Practice address
1 SCARLET KNIGHT WAY, PISCATAWAY, NJ 08854-8069
(732) 445-6258
(732) 445-2780
Mailing address
PO BOX 168007, IRVING, TX 75016-8007
(866) 890-6390
(325) 437-8390
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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