Healthcare Provider Details

I. General information

NPI: 1386612596
Provider Name (Legal Business Name): THE BOROUGH OF VERONA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 BLOOMFIELD AVE
VERONA NJ
07044-1804
US

IV. Provider business mailing address

600 BLOOMFIELD AVE
VERONA NJ
07044-1804
US

V. Phone/Fax

Practice location:
  • Phone: 973-857-4800
  • Fax: 973-857-4828
Mailing address:
  • Phone: 973-857-4800
  • Fax: 973-857-4828

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: MS. CONSTANCE PIFHER
Title or Position: PROGRAM COORDINATOR
Credential: RNBS
Phone: 973-857-4800