Provider Demographics
NPI:1811326283
Name:RUTGERS THE STATE UNIVERSITY OF NEW JERSEY
Entity type:Organization
Organization Name:RUTGERS THE STATE UNIVERSITY OF NEW JERSEY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE CHANCELLOR FINANCE &ADM
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAMWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-972-4121
Mailing Address - Street 1:185 S. ORANGE AVE
Mailing Address - Street 2:NJ MEDICAL SCHOOL MSB F- 656
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103
Mailing Address - Country:US
Mailing Address - Phone:973-972-3170
Mailing Address - Fax:973-972-0795
Practice Address - Street 1:185 S. ORANGE AVE
Practice Address - Street 2:NJ MEDICAL SCHOOL MSB F- 656
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103
Practice Address - Country:US
Practice Address - Phone:973-972-3170
Practice Address - Fax:973-972-0795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-06
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory