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Contact Information

RUTGERS HEALTH -UNIVERSITY DENTAL ASSOCIATES
90 BERGEN ST
SUITE 7700
NEWARK, NJ07103-2425
 Phone: 973-972-2444
 Fax: 973-972-2441
 Website:
Indicates primary specialty

NPI Profile & details for RUTGERS HEALTH -UNIVERSITY DENTAL ASSOCIATES

NPI Number 1346454584
LBN Legal business name RUTGERS HEALTH -UNIVERSITY DENTAL ASSOCIATES
Authorized official VICENTE GRACIAS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2007
Last updated 07/14/2017 - About 9 years ago
Identifiers
NJ License # 22DI01997900
NJ Medicaid 250009
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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