Healthcare Provider Details

I. General information

NPI: 1811013873
Provider Name (Legal Business Name): TOWNSHIP OF WESTAMPTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 07/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 RANCOCAS ROAD
WESTAMPTON NJ
08060-5642
US

IV. Provider business mailing address

PO BOX 467
LUMBERTON NJ
08048
US

V. Phone/Fax

Practice location:
  • Phone: 609-267-2041
  • Fax: 609-267-7398
Mailing address:
  • Phone: 609-261-1002
  • Fax: 609-261-6088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberWEST00650
License Number StateNJ

VIII. Authorized Official

Name: MR. WYLIE JOHNSON
Title or Position: CHIEF
Credential:
Phone: 856-784-3715