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FP07103 Rutgers, The State University of New Jersey (Active)
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Main Details
Name
Rutgers, The State University of New Jersey
Subdivision Name
RBHS-NJMS Department of Pediatrics Division of Adolescent and Young Adult Medicine
Type
Family Planning (Title X only)
340B ID
FP07103
Grant Number
FPHPA006527-03
Additional Details
Current Program Status
Active
Registration Date
10/5/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/17/2018
Last Recertification Date
5/21/2024
Contacts
Authorizing Official
Rutgers, The State University of New Jersey
Letitia Dean, Assistant Director, Office of Research and Sponsored Programs
(973) 972-0283
Primary Contact
New Jersey Medical School
Dominga Padilla, Medical Director
(973) 972-3921
Addresses
Street Address
90 Bergen Street
Suite 4400
Newark, NJ 07103
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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