Healthcare Provider Details

I. General information

NPI: 1801828736
Provider Name (Legal Business Name): TOWNSHIP OF IRVINGTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 01/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CIVIC SQ MUNICIPAL BUILDING
IRVINGTON NJ
07111-2412
US

IV. Provider business mailing address

1 CIVIC SQ MUNICIPAL BUILDING
IRVINGTON NJ
07111-2412
US

V. Phone/Fax

Practice location:
  • Phone: 973-399-6647
  • Fax: 973-371-1489
Mailing address:
  • Phone: 973-399-6682
  • Fax: 973-399-6766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MUSA A. MALIK
Title or Position: BUSINESS ADMINISTRATOR
Credential: ESQ.
Phone: 973-399-6682