Healthcare Provider Details

I. General information

NPI: 1881673069
Provider Name (Legal Business Name): TOWNSHIP OF BORDENTOWN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2006
Last Update Date: 04/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

262 CROSSWICKS RD
BORDENTOWN NJ
08505-2609
US

IV. Provider business mailing address

PO BOX 1016
VOORHEES NJ
08043-7016
US

V. Phone/Fax

Practice location:
  • Phone: 609-298-8527
  • Fax: 609-298-8546
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 NumberBRDTWP031
License Number StateNJ

VIII. Authorized Official

Name: MRS. AMY GIFFORD
Title or Position: VICE PRESIDENT
Credential:
Phone: 856-784-3715