Provider Demographics
NPI:1710930839
Name:UMDNJ RWJ UNIVERSITY ORTHOPAEDIC GROUP
Entity Type:Organization
Organization Name:UMDNJ RWJ UNIVERSITY ORTHOPAEDIC GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:WEBER
Authorized Official - Last Name:ADAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-545-0400
Mailing Address - Street 1:215 EASTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-1722
Mailing Address - Country:US
Mailing Address - Phone:732-545-0400
Mailing Address - Fax:732-545-0465
Practice Address - Street 1:562 EASTON AVE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1900
Practice Address - Country:US
Practice Address - Phone:732-565-5450
Practice Address - Fax:732-220-1505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty