Organization Name: | ROBERT WOOD JOHNSON KIDNEY PANCREAS TRANSPLANT ASSOCIATES |
NPI Number: | 1013223387 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDREW WINNAKER (CREDENTIALING SPECIALIST) |
Mailing Address: | 120 Albany St Fl 27 New Brunswick |
State: | NJ US |
Postal Code: | 089012163 |
Phone Number: | 7329378537 |
Fax Number: | |
NPI Enumeration Date: | 08/25/2010 |
NPI Last Update Date: | 08/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204F00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Transplant Surgery |
Taxonomy Specialization: | |
Taxonomy Definition: |