Provider Demographics
NPI:1568622934
Name:TOWNSHIP OF MONTGOMERY
Entity Type:Organization
Organization Name:TOWNSHIP OF MONTGOMERY
Other - Org Name:MONTGOMERY TOWNSHIP HEALTH DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:CAREY
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:908-359-8211
Mailing Address - Street 1:2261 ROUTE 206
Mailing Address - Street 2:
Mailing Address - City:BELLE MEAD
Mailing Address - State:NJ
Mailing Address - Zip Code:08502-4012
Mailing Address - Country:US
Mailing Address - Phone:908-359-8211
Mailing Address - Fax:908-359-4308
Practice Address - Street 1:2261 ROUTE 206
Practice Address - Street 2:
Practice Address - City:BELLE MEAD
Practice Address - State:NJ
Practice Address - Zip Code:08502-4012
Practice Address - Country:US
Practice Address - Phone:908-359-8211
Practice Address - Fax:908-359-4308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJA562251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ401937Medicare PIN