Healthcare Provider Details

I. General information

NPI: 1104806264
Provider Name (Legal Business Name): TOWNSHIP OF EWING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2006
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 JAKE GARZIO DR
EWING NJ
08628-1544
US

IV. Provider business mailing address

PO BOX 207
ALLENTOWN PA
18105-0207
US

V. Phone/Fax

Practice location:
  • Phone: 609-538-7615
  • Fax: 609-883-2320
Mailing address:
  • Phone: 800-473-2278
  • Fax: 484-664-2015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberEWIN00199
License Number StateNJ

VIII. Authorized Official

Name: DELORFETTE CLARK
Title or Position: DIRECTOR OF EMS
Credential:
Phone: 609-362-0010