| Robert Wood Johnson University Hospital Dental Suite | |
|
1 Robert Wood Johnson Pl Dental Suite New Brunswick NJ 08901-1928 | |
| (732) 937-8653 | |
| (732) 253-3575 |
| Full Name | Robert Wood Johnson University Hospital Dental Suite |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1 Robert Wood Johnson Pl, New Brunswick, New Jersey |
| Authorized Official Name and Position | Jacqueline S. Reid (DIRECTOR, DENTAL SUITE) |
| Authorized Official Contact | 7329378653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Wood Johnson University Hospital Dental Suite 1 Robert Wood Johnson Pl Dental Suite New Brunswick NJ 08901-1928 Ph: (732) 937-8653 | Robert Wood Johnson University Hospital Dental Suite 1 Robert Wood Johnson Pl Dental Suite New Brunswick NJ 08901-1928 Ph: (732) 937-8653 |
| NPI Number | 1063561025 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 12/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063561025 | NPI | - | NPPES |
| 4137710 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DI019921 (New Jersey) | Primary |
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