MEDICARE: TOWNSHIP OF DENVILLE FINANCE DEPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory	31D0880084	NJ

General Provider Information

NPI Number	:	1730356551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWNSHIP OF DENVILLE FINANCE DEPT

Provider Business Mailing Address
First Line	:	1 SAINT MARYS PL
Second Line	:
City	:	DENVILLE
State	:	NJ
Zip	:	07834-2122
Country	:	US
Telephone Number	:	973-625-8300
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 SAINT MARYS PL
Second Line	:
City	:	DENVILLE
State	:	NJ
Zip	:	07834-2122
Country	:	US
Telephone Number	:	973-625-8300
Fax Number	:

Authorized Official
Title or Position	:	HEALTH OFFICER
Name	:	JAMES H NORGALIS
Credential	:	DHA
Telephone Number	:	973-625-8300

Provider Enumeration Date	:	05/12/2008
Last Update Date	:	09/09/2008

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