National Provider Identifier Database

UNIVERSITY OF MEDICINE DENTISTRY OF NEW JERSEY
Women


Contact Information

UNIVERSITY OF MEDICINE & DENTISTRY OF NEW JERSEY
150 BERGEN ST
G102 FXB CLINIC
NEWARK, NJ07103-2496
Phone: 973-972-9043
Fax:
Website:
Specialty Taxonomy Code
* Women 282NW0100X
Clinic/Center 261Q00000X

* Indicates primary specialty

NPI Profile & details for UNIVERSITY OF MEDICINE & DENTISTRY OF NEW JERSEY

NPI Number 1407019185
Legal business name
LBN
UNIVERSITY OF MEDICINE & DENTISTRY OF NEW JERSEY
Authorized official KATHLEEN HENDRICKS - (WOMENS HEALTH NURSE PRACTITIONER)
Entity Organization
Organization subpart No
Enumeration date 07/03/2008
Last updated 07/03/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 26NJ00156800

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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