Provider Demographics
NPI:1306021589
Name:TOWNSHIP OF LIVINGSTON
Entity Type:Organization
Organization Name:TOWNSHIP OF LIVINGSTON
Other - Org Name:LIVINGSTON HEALTH DEPT.
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF HEALTH
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ANELLO
Authorized Official - Suffix:
Authorized Official - Credentials:HEALTH OFFICER
Authorized Official - Phone:973-535-7961
Mailing Address - Street 1:204 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-3646
Mailing Address - Country:US
Mailing Address - Phone:973-535-7961
Mailing Address - Fax:973-535-7993
Practice Address - Street 1:204 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-3646
Practice Address - Country:US
Practice Address - Phone:973-535-7961
Practice Address - Fax:973-535-7993
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWNSHIP OF LIVINGSTON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-07
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251K00000X251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ763718Medicare PIN