Provider Demographics
NPI:1003036674
Name:REPRODUCTIVE CENTER OF CENTRAL NEW JERSEY
Entity Type:Organization
Organization Name:REPRODUCTIVE CENTER OF CENTRAL NEW JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PRAFUL
Authorized Official - Middle Name:
Authorized Official - Last Name:VAIDY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:908-412-9909
Mailing Address - Street 1:3000 HADLEY RD FL 2
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-1183
Mailing Address - Country:US
Mailing Address - Phone:908-412-9909
Mailing Address - Fax:908-412-9910
Practice Address - Street 1:3000 HADLEY RD FL 2
Practice Address - Street 2:
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-1183
Practice Address - Country:US
Practice Address - Phone:908-412-9909
Practice Address - Fax:908-412-9910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory