Healthcare Provider Details

I. General information

NPI: 1023148178
Provider Name (Legal Business Name): COUNTY OF MIDDLESEX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 12/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 KENNEDY BLVD
EAST BRUNSWICK NJ
08816-1250
US

IV. Provider business mailing address

35 KENNEDY BLVD
EAST BRUNSWICK NJ
08816-1250
US

V. Phone/Fax

Practice location:
  • Phone: 732-745-3121
  • Fax: 732-745-3922
Mailing address:
  • Phone: 732-745-3121
  • Fax: 732-745-3922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. LESTER JONES
Title or Position: DIRECTOR
Credential: HO
Phone: 732-745-3121