Provider Demographics
NPI:1235148099
Name:RWJ OB/GYN ASSOCIATES PA
Entity Type:Organization
Organization Name:RWJ OB/GYN ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER/SECRETARY/TREAS
Authorized Official - Prefix:
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOCHNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-422-8989
Mailing Address - Street 1:3270 ROUTE 27
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:KENDALL PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08824
Mailing Address - Country:US
Mailing Address - Phone:732-422-8989
Mailing Address - Fax:
Practice Address - Street 1:3270 ROUTE 27
Practice Address - Street 2:SUITE 2200
Practice Address - City:KENDALL PARK
Practice Address - State:NJ
Practice Address - Zip Code:08824
Practice Address - Country:US
Practice Address - Phone:732-422-8989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ463014Medicare ID - Type Unspecified