Provider Demographics
NPI:1699829622
Name:US REGIONAL II OF NJ DBA WORKNET, OBOM
Entity Type:Organization
Organization Name:US REGIONAL II OF NJ DBA WORKNET, OBOM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CBO MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:CRANE
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:215-938-0800
Mailing Address - Street 1:PO BOX 827929
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-7929
Mailing Address - Country:US
Mailing Address - Phone:215-938-0800
Mailing Address - Fax:717-412-9350
Practice Address - Street 1:1800 BYBERRY RD
Practice Address - Street 2:SUITE 701
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-3518
Practice Address - Country:US
Practice Address - Phone:215-938-0800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine