Provider Demographics
NPI:1417209602
Name:COUNTY OF SOMERSET
Entity Type:Organization
Organization Name:COUNTY OF SOMERSET
Other - Org Name:HEALTH DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF HEALTH - HEALTH OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MASABA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-231-7155
Mailing Address - Street 1:27 WARREN ST
Mailing Address - Street 2:PO BOX 3000
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-2921
Mailing Address - Country:US
Mailing Address - Phone:908-231-7155
Mailing Address - Fax:
Practice Address - Street 1:20 GROVE ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-2306
Practice Address - Country:US
Practice Address - Phone:908-231-7155
Practice Address - Fax:908-704-8042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare