Healthcare Provider Details

I. General information

NPI: 1891976106
Provider Name (Legal Business Name): TOWNSHIP OF WAYNE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2007
Last Update Date: 06/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 VALLEY RD
WAYNE NJ
07470-3532
US

IV. Provider business mailing address

475 VALLEY RD
WAYNE NJ
07470-3532
US

V. Phone/Fax

Practice location:
  • Phone: 973-694-1800
  • Fax: 973-696-8186
Mailing address:
  • Phone: 973-694-1800
  • Fax: 973-696-8186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MS. MARYANN ORAPELLO
Title or Position: HEALTH OFFICER
Credential: MA
Phone: 973-694-1800