Healthcare Provider Details

I. General information

NPI: 1134391782
Provider Name (Legal Business Name): CITY OF CLIFTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2008
Last Update Date: 03/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 CLIFTON AVE
CLIFTON NJ
07013-2708
US

IV. Provider business mailing address

900 CLIFTON AVE
CLIFTON NJ
07013-2708
US

V. Phone/Fax

Practice location:
  • Phone: 973-470-5763
  • Fax:
Mailing address:
  • Phone: 973-470-5763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN E BIEGEL III
Title or Position: HEALTH OFFICER
Credential:
Phone: 973-470-5763