31D1039180 CLIA NUMBER - ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE, PA

Laboratory Demographics

CLIA Number: 31D1039180

Facility Name: ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE, PA

Facility Address:
2107 ROUTE 516
OLD BRIDGE, NJ
ZIP 08857
Get Directions

Facility Phone Number: 732 369-5994

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1245587922

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	31D1039180
LAB Type	Physician Office
Facility Name	ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE, PA
Street	2107 ROUTE 516
City	OLD BRIDGE
State	NJ
ZIP	08857
Phone	732 369-5994
CertificateType	4
CertificateEffectiveDate	4/7/2023
CertificateExpirationDate	4/6/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024