Healthcare Provider Details

I. General information

NPI: 1831697960
Provider Name (Legal Business Name): CITY OF PLAINFIELD, HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2018
Last Update Date: 01/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 WATCHUNG AVE
PLAINFIELD NJ
07060-1721
US

IV. Provider business mailing address

510 WATCHUNG AVE
PLAINFIELD NJ
07060-1721
US

V. Phone/Fax

Practice location:
  • Phone: 908-753-3092
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. ATIF NAZIR
Title or Position: HEALTH OFFICER
Credential: DVM
Phone: 908-753-3090