Healthcare Provider Details

I. General information

NPI: 1003036674
Provider Name (Legal Business Name): REPRODUCTIVE CENTER OF CENTRAL NEW JERSEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 HADLEY RD FL 2
SOUTH PLAINFIELD NJ
07080-1183
US

IV. Provider business mailing address

3000 HADLEY RD FL 2
SOUTH PLAINFIELD NJ
07080-1183
US

V. Phone/Fax

Practice location:
  • Phone: 908-412-9909
  • Fax: 908-412-9910
Mailing address:
  • Phone: 908-412-9909
  • Fax: 908-412-9910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. PRAFUL VAIDY
Title or Position: DIRECTOR
Credential: PHD
Phone: 908-412-9909