Provider Demographics
NPI:1538310735
Name:HAZLET-ABERDEEN HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:HAZLET-ABERDEEN HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:732-264-1700
Mailing Address - Street 1:1766 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-2444
Mailing Address - Country:US
Mailing Address - Phone:732-264-1700
Mailing Address - Fax:732-264-9531
Practice Address - Street 1:1766 UNION AVE
Practice Address - Street 2:
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-2444
Practice Address - Country:US
Practice Address - Phone:732-264-1700
Practice Address - Fax:732-264-9531
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAZLET TOWNSHIP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-06
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ765830Medicare PIN