Provider Demographics
NPI:1164171930
Name:RUTGERS HEALTH - RSDM DENTAL ASSOCIATES - NEW BRUNSWICK OS - NB
Entity Type:Organization
Organization Name:RUTGERS HEALTH - RSDM DENTAL ASSOCIATES - NEW BRUNSWICK OS - NB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR MGR BILLING & COLLECTIONS
Authorized Official - Prefix:
Authorized Official - First Name:ROSEMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VACCARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-972-8664
Mailing Address - Street 1:135 SOMERSET ST STE A
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-2090
Mailing Address - Country:US
Mailing Address - Phone:732-235-5050
Mailing Address - Fax:732-235-5050
Practice Address - Street 1:135 SOMERSET ST STE A
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-2090
Practice Address - Country:US
Practice Address - Phone:732-235-5050
Practice Address - Fax:732-235-5050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty