Healthcare Provider Details

I. General information

NPI: 1891829305
Provider Name (Legal Business Name): A BETTER CHOICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 GARNETT LN
EGG HARBOR TOWNSHIP NJ
08234-5959
US

IV. Provider business mailing address

108 GARNETT LN
EGG HARBOR TOWNSHIP NJ
08234-5959
US

V. Phone/Fax

Practice location:
  • Phone: 609-601-1130
  • Fax: 609-601-1086
Mailing address:
  • Phone: 609-601-1130
  • Fax: 609-601-1086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number0600-2927-38
License Number StateNJ

VIII. Authorized Official

Name: JAN E VAN HOLT
Title or Position: OWNER
Credential: DIRECT OWNER
Phone: 609-464-0300