Provider Demographics
NPI:1609546233
Name:RR HEALTH SERVICES OF NJ PA
Entity Type:Organization
Organization Name:RR HEALTH SERVICES OF NJ PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DIPAK
Authorized Official - Middle Name:
Authorized Official - Last Name:DATTANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-690-5254
Mailing Address - Street 1:52 WEAVER DR
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-5505
Mailing Address - Country:US
Mailing Address - Phone:732-690-5254
Mailing Address - Fax:
Practice Address - Street 1:245 ATLANTIC CITY BLVD FL 2
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08722-2972
Practice Address - Country:US
Practice Address - Phone:732-690-5254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder