Provider Demographics
NPI:1477605954
Name:SOMERSET FAMILY PLANNING SERVICES INC
Entity Type:Organization
Organization Name:SOMERSET FAMILY PLANNING SERVICES INC
Other - Org Name:WOMENS HEALTH AND COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DATA MANAGER/MES SUPPORTS
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:B
Authorized Official - Last Name:FALLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-526-2335
Mailing Address - Street 1:71 4TH STREET
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-3235
Mailing Address - Country:US
Mailing Address - Phone:908-526-2335
Mailing Address - Fax:908-725-7274
Practice Address - Street 1:71 4TH ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-3235
Practice Address - Country:US
Practice Address - Phone:908-526-2335
Practice Address - Fax:908-725-7274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA63548261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0038601Medicaid
NJ8631301Medicaid
NJG92639Medicare UPIN
NJ0038601Medicaid