Healthcare Provider Details

I. General information

NPI: 1881867372
Provider Name (Legal Business Name): COUNTY OF CUMBERLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2008
Last Update Date: 08/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 BUCK STREET
MILLVILLE NJ
08332
US

IV. Provider business mailing address

309 BUCK STREET
MILLVILLE NJ
08332
US

V. Phone/Fax

Practice location:
  • Phone: 856-327-7602
  • Fax: 856-327-6273
Mailing address:
  • Phone: 856-327-7602
  • Fax: 856-327-6273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. MEGAN SHEPPARD
Title or Position: HEALTH OFFICER
Credential:
Phone: 856-327-7602