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Contact Information

RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM
195 LITTLE ALBANY ST
NEW BRUNSWICK, NJ08901-1914
 Phone: 732-235-6777
 Fax: 732-235-7355
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM

NPI # 1487688495
LBN Legal business name RUTGERS HEALTH-RWJ SCLERODERMA PROGRAM
Authorized official BRENDA LAWRENCE - (DIRECTOR OF REVENUE CYCLE)
Entity Organization
Organization subpart 1 No
Enumeration date 07/10/2006
Last updated 01/19/2021 - About 5 years ago
Identifiers
NJ Medicaid 8654000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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