Provider Demographics
NPI:1114300175
Name:COUNTY OF MERCER
Entity Type:Organization
Organization Name:COUNTY OF MERCER
Other - Org Name:TRADE
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:DENERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-530-1970
Mailing Address - Street 1:300 SCOTCH RD BLDG 1
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08628-1301
Mailing Address - Country:US
Mailing Address - Phone:609-530-1970
Mailing Address - Fax:609-530-7517
Practice Address - Street 1:300 SCOTCH RD BLDG 1
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08628-1301
Practice Address - Country:US
Practice Address - Phone:609-530-1970
Practice Address - Fax:609-530-7517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-08
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus