| NPI | 1881668846 |
|---|---|
| Former Legal Business Name | UMDNJ-SOM NEWJERSEY INSTITUTE FORSUCCESSFUL AGING-GERIATRIC PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RIEKER Interim Chief Financial Officier 856-770-5729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| 103G00000X Clinical Neuropsychologist | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2013-05-15 |