Healthcare Provider Details

I. General information

NPI: 1689653883
Provider Name (Legal Business Name): TOWNSHIP OF CRANFORD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2006
Last Update Date: 01/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 SPRINGFIELD AVE
CRANFORD NJ
07016-2181
US

IV. Provider business mailing address

8 SPRINGFIELD AVE
CRANFORD NJ
07016-2181
US

V. Phone/Fax

Practice location:
  • Phone: 908-709-3998
  • Fax: 908-709-7342
Mailing address:
  • Phone: 908-709-3998
  • Fax: 908-709-7342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberCRAN031
License Number StateNJ

VIII. Authorized Official

Name: MR. TOM GRADY
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 908-709-7250