Provider Demographics
NPI:1093913790
Name:TWSP OF BRANCHBURG
Entity Type:Organization
Organization Name:TWSP OF BRANCHBURG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:CINTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:MA,
Authorized Official - Phone:908-526-1300
Mailing Address - Street 1:1077 US HIGHWAY 202 N
Mailing Address - Street 2:
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-3924
Mailing Address - Country:US
Mailing Address - Phone:908-526-1300
Mailing Address - Fax:908-231-7882
Practice Address - Street 1:1077 US HIGHWAY 202 N
Practice Address - Street 2:
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-3924
Practice Address - Country:US
Practice Address - Phone:908-526-1300
Practice Address - Fax:908-231-7882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ862415Medicare ID - Type Unspecified