Healthcare Provider Details

I. General information

NPI: 1215264015
Provider Name (Legal Business Name): BOROUGH OF BELLMAWR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2009
Last Update Date: 11/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 LEWIS AVE
BELLMAWR NJ
08031-1249
US

IV. Provider business mailing address

PO BOX 1016
VOORHEES NJ
08043-7016
US

V. Phone/Fax

Practice location:
  • Phone: 856-933-3235
  • Fax:
Mailing address:
  • Phone: 856-784-8004
  • Fax: 856-768-2739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberBELLMW013
License Number StateNJ

VIII. Authorized Official

Name: FRANK R FILIPEK
Title or Position: MAYOR
Credential:
Phone: 856-933-3225