Healthcare Provider Details

I. General information

NPI: 1649708421
Provider Name (Legal Business Name): TOWNSHIP OF VOORHEES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2017
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 COOPER RD
VOORHEES NJ
08043-9520
US

IV. Provider business mailing address

2400 VOORHEES TOWN CTR
VOORHEES NJ
08043-1944
US

V. Phone/Fax

Practice location:
  • Phone: 856-783-8830
  • Fax:
Mailing address:
  • Phone: 856-429-7026
  • Fax: 856-429-3766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0413034
License Number StateNJ

VIII. Authorized Official

Name: MR. DEAN CIMINERA
Title or Position: CFO
Credential:
Phone: 856-429-7026