Robert Wood Johnson Jr Lifestyle Institute INC
NPI #1306382254 in Toms River, New Jersey
Provider Information
- NPI Number
- 1306382254
- Entity Type
- Organization
- Organization Name
- Robert Wood Johnson Jr Lifestyle Institute INC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Jan 17, 2017
- Last Updated
- Apr 10, 2017
Practice Location
- Address
- 1430 HOOPER AVENUE
- Address 2
- #102
- City
- Toms River
- State
- New Jersey
- ZIP Code
- 08753
- Phone
- (732) 349-2867
Authorized Official
- Name
- RICHARD C SMITH
- Title
- CFO
- Phone
- (732) 321-7747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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