Provider Demographics
NPI:1689653883
Name:TOWNSHIP OF CRANFORD
Entity Type:Organization
Organization Name:TOWNSHIP OF CRANFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:GRADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-709-7250
Mailing Address - Street 1:8 SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-2181
Mailing Address - Country:US
Mailing Address - Phone:908-709-3998
Mailing Address - Fax:908-709-7342
Practice Address - Street 1:8 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2181
Practice Address - Country:US
Practice Address - Phone:908-709-3998
Practice Address - Fax:908-709-7342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-16
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJCRAN0313416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0072893Medicaid
NJ094836Medicare PIN