MEDICARE: PLANNED PARENTHOOD OF GREATER NORTHERN NJ

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	332900000X	Non-Pharmacy Dispensing Site	D06615800	NJ
2	261QA0005X	Ambulatory Family Planning Facility	31D0116942	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891869855
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLANNED PARENTHOOD OF GREATER NORTHERN NJ

Provider Business Mailing Address
First Line	:	196 SPEEDWELL AVENUE
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 NORTH MORRIS STREET
Second Line	:
City	:	DOVER
State	:	NJ
Zip	:	07801-3910
Country	:	US
Telephone Number	:	973-361-6006
Fax Number	:	973-361-5921

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	MR. JEFF BRAND
Credential	:
Telephone Number	:	973-539-9580

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	07/14/2008

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Directions to “PLANNED PARENTHOOD OF GREATER NORTHERN NJ ” Practice Location

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