Provider Demographics
NPI:1619734779
Name:FWDSLASH, INC.
Entity Type:Organization
Organization Name:FWDSLASH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRASAD
Authorized Official - Suffix:
Authorized Official - Credentials:DRPH
Authorized Official - Phone:732-766-1089
Mailing Address - Street 1:PO BOX 516
Mailing Address - Street 2:
Mailing Address - City:TENNENT
Mailing Address - State:NJ
Mailing Address - Zip Code:07763-0516
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:75 BROOKHAVEN RD
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-0042
Practice Address - Country:US
Practice Address - Phone:732-766-1089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health