Organization Name: | UNDERWOOD-MEMORIAL HOSPITAL |
NPI Number: | 1952342990 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN W. GRAHAM (EXEC.VP/ COO) |
Mailing Address: | 100 Lexington Rd Bldg 1 Woolwich Township |
State: | NJ US |
Postal Code: | 080851276 |
Phone Number: | 8564677360 |
Fax Number: | 8564675959 |
NPI Enumeration Date: | 06/09/2006 |
NPI Last Update Date: | 02/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |