Healthcare Provider Details

I. General information

NPI: 1285035063
Provider Name (Legal Business Name): RWJ HAMILTON CENTER FOR HEALTH & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2014
Last Update Date: 09/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 QUAKERBRIDGE ROAD
MERCERVILLE NJ
08619
US

IV. Provider business mailing address

1044 US HIGHWAY 9
PARLIN NJ
08859-1401
US

V. Phone/Fax

Practice location:
  • Phone: 609-584-7600
  • Fax:
Mailing address:
  • Phone: 732-525-2900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MR. BRUCE TRAUB
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 609-683-7888