=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609176528
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BOROUGH OF EDGEWATER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/26/2010
-----------------------------------------------------
Last Update Date | 08/31/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 916 RIVER RD
-----------------------------------------------------
City | EDGEWATER
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07020-1222
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-943-1700
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 207
-----------------------------------------------------
City | ALLENTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18105-0207
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-473-2278
-----------------------------------------------------
Fax | 484-664-2015
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BOROUGH ADMINISTRATOR
-----------------------------------------------------
Name | GREGORY FRANZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 201-943-1700
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------