Healthcare Provider Details

I. General information

NPI: 1831147503
Provider Name (Legal Business Name): TOWNSHIP OF WASHINGTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 10/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 HUDSON AVE
TOWNSHIP OF WASHINGTON NJ
07676-4716
US

IV. Provider business mailing address

350 HUDSON AVE
TOWNSHIP OF WASHINGTON NJ
07676-4716
US

V. Phone/Fax

Practice location:
  • Phone: 201-666-8512
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. RUDOLPH J. WENZEL JR.
Title or Position: MAYOR
Credential:
Phone: 201-664-4404