Provider Demographics
NPI:1972737104
Name:RWJ AOI (RETEIRED)
Entity Type:Organization
Organization Name:RWJ AOI (RETEIRED)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:VILLOTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-406-0671
Mailing Address - Street 1:1 WASHINGTON BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-3162
Mailing Address - Country:US
Mailing Address - Phone:303-717-9714
Mailing Address - Fax:303-894-8066
Practice Address - Street 1:1 WASHINGTON BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08691-3162
Practice Address - Country:US
Practice Address - Phone:303-717-9714
Practice Address - Fax:303-894-8066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-01
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care