Healthcare Provider Details

I. General information

NPI: 1942446018
Provider Name (Legal Business Name): SOUTH BRUNSWICK TWP. HEALTH DEPT.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2008
Last Update Date: 12/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 RIDGE RD
MONMOUTH JUNCTION NJ
08852-2643
US

IV. Provider business mailing address

PO BOX 190
MONMOUTH JUNCTION NJ
08852-0190
US

V. Phone/Fax

Practice location:
  • Phone: 732-329-4000
  • Fax:
Mailing address:
  • Phone: 732-329-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License NumberNA
License Number StateNJ

VIII. Authorized Official

Name: MR. STEPHEN JOSEPH PAPENBERG
Title or Position: HEALTH OFFICER
Credential:
Phone: 732-329-4000