Healthcare Provider Details

I. General information

NPI: 1285759324
Provider Name (Legal Business Name): TOWNSHIP OF HARDING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 12/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 BLUE MILL ROAD
NEW VERNON NJ
07976-0666
US

IV. Provider business mailing address

21 BLUE MILL ROAD BOX 666
NEW VERNON NJ
07976-0666
US

V. Phone/Fax

Practice location:
  • Phone: 973-267-8000
  • Fax: 973-829-7025
Mailing address:
  • Phone: 973-267-8000
  • Fax: 973-829-7025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. GARRY ANNIBAL
Title or Position: HEALTH ADMINISTRATOR
Credential:
Phone: 973-267-8000