Organization Name: | RARITAN BAY MEDICAL CENTER PROFESSIONAL SERVICES |
NPI Number: | 1407945108 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TOM SHANAHAN (CEO) |
Mailing Address: | 2433 County Highway 516 Suite 3b Old Bridge |
State: | NJ US |
Postal Code: | 08857 |
Phone Number: | 7323600287 |
Fax Number: | 7323601279 |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25MA03645000 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |