Healthcare Provider Details

I. General information

NPI: 1760439772
Provider Name (Legal Business Name): CITY OF VINELAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 02/13/2023
Certification Date: 02/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 E WOOD ST
VINELAND NJ
08360-3722
US

IV. Provider business mailing address

640 E WOOD ST PO BOX 1508
VINELAND NJ
08362-1508
US

V. Phone/Fax

Practice location:
  • Phone: 856-794-4000
  • Fax: 856-794-1159
Mailing address:
  • Phone: 856-794-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberVINE00614
License Number StateNJ

VIII. Authorized Official

Name: MR. ANTHONY ROMEO FANUCCI
Title or Position: MAYOR
Credential:
Phone: 856-794-4000