MEDICARE: LONG BEACH TOWNSHIP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1043465255
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONG BEACH TOWNSHIP

Provider Business Mailing Address
First Line	:	2119 LONG BEACH BLVD
Second Line	:
City	:	SHIP BOTTOM
State	:	NJ
Zip	:	08008-4356
Country	:	US
Telephone Number	:	609-492-1212
Fax Number	:	609-492-9215

Provider Business Practice Location Address
First Line	:	2119 LONG BEACH BLVD
Second Line	:
City	:	SHIP BOTTOM
State	:	NJ
Zip	:	08008-4356
Country	:	US
Telephone Number	:	609-492-1212
Fax Number	:	609-492-9215

Authorized Official
Title or Position	:	HEALTH OFFICER
Name	:	MR. DANIEL J KRUPINSKI
Credential	:	MPH, HO
Telephone Number	:	609-492-1212

Provider Enumeration Date	:	12/02/2008
Last Update Date	:	10/20/2017

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Directions to “LONG BEACH TOWNSHIP ” Practice Location

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