Healthcare Provider Details

I. General information

NPI: 1215921051
Provider Name (Legal Business Name): ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL @ RAHWAY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 02/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

865 STONE ST
RAHWAY NJ
07065-2742
US

IV. Provider business mailing address

865 STONE ST
RAHWAY NJ
07065-2742
US

V. Phone/Fax

Practice location:
  • Phone: 732-499-6084
  • Fax:
Mailing address:
  • Phone: 732-499-6084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. BARBARA T. BOWBLISS
Title or Position: DIRECTOR PATIENT ACCOUNTS
Credential:
Phone: 732-499-6084