Provider Demographics
NPI:1336322403
Name:TOWNSHIP OF MORRIS
Entity Type:Organization
Organization Name:TOWNSHIP OF MORRIS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:BREEN
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:973-326-7390
Mailing Address - Street 1:50 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6075
Mailing Address - Country:US
Mailing Address - Phone:973-326-7390
Mailing Address - Fax:973-605-8363
Practice Address - Street 1:50 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6075
Practice Address - Country:US
Practice Address - Phone:973-326-7390
Practice Address - Fax:973-605-8363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ012672Medicare PIN