Healthcare Provider Details

I. General information

NPI: 1164008041
Provider Name (Legal Business Name): REPRODUCTIVE HEALTH CENTER OF NEW JERSEY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 03/22/2021
Certification Date: 03/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 KINGS HWY N STE 100
CHERRY HILL NJ
08034-1502
US

IV. Provider business mailing address

601 CHAPEL AVE E
CHERRY HILL NJ
08034-1454
US

V. Phone/Fax

Practice location:
  • Phone: 856-356-4001
  • Fax: 856-414-1660
Mailing address:
  • Phone: 856-356-4001
  • Fax: 856-414-1660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANGELA LAZARUS
Title or Position: COO
Credential:
Phone: 856-356-4001