Healthcare Provider Details

I. General information

NPI: 1629186374
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF NORTHERN, CENTRAL, AND SOUTHERN NEW JERSEY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 11/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 BROADWAY
CAMDEN NJ
08103
US

IV. Provider business mailing address

196 SPEEDWELL AVENUE
MORRISTOWN NJ
07960
US

V. Phone/Fax

Practice location:
  • Phone: 800-230-7526
  • Fax: 856-365-9215
Mailing address:
  • Phone: 973-539-9580
  • Fax: 973-539-3828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SANDY STILES
Title or Position: SPECIAL PROJECTS LIASION
Credential:
Phone: 973-539-9580