Provider Demographics
NPI:1063600955
Name:THE WOMEN'S CENTER OF NEW JERSEY
Entity type:Organization
Organization Name:THE WOMEN'S CENTER OF NEW JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:A
Authorized Official - Last Name:YESKE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:908-713-1139
Mailing Address - Street 1:65 OLD HIGHWAY 22
Mailing Address - Street 2:SUITE 10
Mailing Address - City:CLINTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08809-1315
Mailing Address - Country:US
Mailing Address - Phone:908-713-1139
Mailing Address - Fax:908-713-1149
Practice Address - Street 1:65 OLD HIGHWAY 22
Practice Address - Street 2:SUITE 10
Practice Address - City:CLINTON
Practice Address - State:NJ
Practice Address - Zip Code:08809-1315
Practice Address - Country:US
Practice Address - Phone:908-713-1139
Practice Address - Fax:908-713-1149
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:D. A. YESKE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-04
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier