Organization
RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM
Active
Other names
Rutgers Health-RWJ Pediatric Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA LAWRENCE (DIRECTOR OF REVENUE CYCLE)
(732) 235-6070
Entity
Organization
Contact information
Practice address
10 PLUM ST FL 6, NEW BRUNSWICK, NJ 08901-2066
(732) 258-7000
(732) 235-8766
Mailing address
66 W GILBERT ST, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5290708
—
NJ
Enumeration date
10/19/2006
Last updated
01/19/2021
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