Organization
UMDNJ RWJ REPRODUCTIVE ENDOCRINOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE PENZYNSKI (CREDENTIALING MANAGER)
(732) 212-0061
Entity
Organization
Contact information
Practice address
303 GEORGE ST, SUITE 250, NEW BRUNSWICK, NJ 08901-2020
(732) 235-7301
(732) 235-7318
Mailing address
66 W GILBERT ST, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8468702
—
NJ
Enumeration date
11/15/2006
Last updated
01/24/2008
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