Provider Demographics
NPI:1306186762
Name:ROBERT WOOD JOHNSON UNIVERSITY
Entity Type:Organization
Organization Name:ROBERT WOOD JOHNSON UNIVERSITY
Other - Org Name:ROBERT WOOD JONHSON UNIVERSITY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNA AISHA
Authorized Official - Middle Name:HUNTER
Authorized Official - Last Name:MANNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-896-2273
Mailing Address - Street 1:39 OAKLAND AVE APT 23
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-3498
Mailing Address - Country:US
Mailing Address - Phone:973-896-2273
Mailing Address - Fax:
Practice Address - Street 1:39 OAKLAND AVE APT 23
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-3498
Practice Address - Country:US
Practice Address - Phone:973-896-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-22
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ4OQA01315800283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital