Provider Demographics
NPI:1578602280
Name:RARITAN OB GYN ASSOCIATES
Entity Type:Organization
Organization Name:RARITAN OB GYN ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:TREADWELL JR.
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-324-4290
Mailing Address - Street 1:485 NEW BRUNSWICK AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PERTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08861-3675
Mailing Address - Country:US
Mailing Address - Phone:732-324-4290
Mailing Address - Fax:732-324-4293
Practice Address - Street 1:485 NEW BRUNSWICK AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-3675
Practice Address - Country:US
Practice Address - Phone:732-324-4290
Practice Address - Fax:732-324-4293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty