Healthcare Provider Details

I. General information

NPI: 1720110588
Provider Name (Legal Business Name): TOWNCO CONSULTANTS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2125 ROUTE 88
BRICK NJ
08724-3227
US

IV. Provider business mailing address

600 MAIN ST
ASBURY PARK NJ
07712-6518
US

V. Phone/Fax

Practice location:
  • Phone: 732-899-1331
  • Fax:
Mailing address:
  • Phone: 732-775-4462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number658335
License Number StateNJ

VIII. Authorized Official

Name: STEVEN A GOLDBERG
Title or Position: PRESIDENT
Credential:
Phone: 732-775-4462