| NPI | 1881666105 |
|---|---|
| Former Legal Business Name | UMDNJ-SOM NEW JERSEY INSTITUTE FOR SUCCESSFUL AGING |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RIEKER Interim Chief Financial Officier 856-770-5729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 207Q00000X Family Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 363L00000X Nurse Practitioner | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2013-05-15 |