Provider Demographics
NPI:1114554532
Name:RWJBH ASSOCIATES 2, LLC
Entity Type:Organization
Organization Name:RWJBH ASSOCIATES 2, LLC
Other - Org Name:RWJBARNABAS RENAISSANCE PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:AMATO
Authorized Official - Middle Name:
Authorized Official - Last Name:AMARAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-322-4594
Mailing Address - Street 1:3 EXECUTIVE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-4007
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:155 JEFFERSON ST # LL
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105-6906
Practice Address - Country:US
Practice Address - Phone:973-344-5498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-25
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty