| Organization Name: | UMDNJ-SOM |
| NPI Number: | 1043559875 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACOB P KUNES (UROLOGICAL SURGERY RESIDENT) |
| Mailing Address: | 1 Medical Center Dr Stratford |
| State: | NJ US |
| Postal Code: | 080841500 |
| Phone Number: | 8565666946 |
| Fax Number: | |
| NPI Enumeration Date: | 02/14/2013 |
| NPI Last Update Date: | 02/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 284300000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Special Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |