Healthcare Provider Details

I. General information

NPI: 1982690087
Provider Name (Legal Business Name): BOROUGH OF JAMESBURG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 PERRINEVILLE RD
JAMESBURG NJ
08831-1672
US

IV. Provider business mailing address

1000 WASHINGTON ST C/O DCM INC
TOMS RIVER NJ
08753-6855
US

V. Phone/Fax

Practice location:
  • Phone: 732-240-3030
  • Fax: 732-914-0470
Mailing address:
  • Phone: 732-240-3030
  • Fax: 732-914-0470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberN/A
License Number StateNJ

VIII. Authorized Official

Name: MS. DENISE JAWIDZIK
Title or Position: BA
Credential:
Phone: 732-521-0339