UNIVERSITY OF MEDICINE & DENTISTRY OF NEW JERSEY; NPI #1407019185

Contact Information

UNIVERSITY OF MEDICINE & DENTISTRY OF NEW JERSEY

150 BERGEN ST
G102 FXB CLINIC
NEWARK, NJ 07103-2496

Phone: 973-972-9043
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Women	282NW0100X
Clinic/Center	261Q00000X

Indicates primary specialty

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

NPI # 1407019185

LBN Legal business name UNIVERSITY OF MEDICINE & DENTISTRY OF NEW JERSEY

Authorized official KATHLEEN HENDRICKS - (WOMENS HEALTH NURSE PRACTITIONER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/03/2008

Last updated 07/03/2008 - About 18 years ago

Identifiers

License #

26NJ00156800

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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