NPI 1063649168

Womens Healthcare Pavillion PA

Organisation Point of Service Old Bridge, NJ

Practice location

Address: 200 Perrine Rd Suite 204, Old Bridge, NJ 08857-2842
Phone: (732) 707-3545
Fax: (732) 707-3546

Authorised official

Name: Ant K Nischal
Title: Manager
Phone: (732) 707-3545

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 25MP00118500 (NJ)

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Registry record

NPI: 1063649168
Entity type: Organization
NPI issued: 16 Jun 2009
Record last updated: 16 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.