Provider Demographics
NPI:1821272261
Name:TOWNSHIP OF EWING
Entity Type:Organization
Organization Name:TOWNSHIP OF EWING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:CANULLI
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:609-883-2900
Mailing Address - Street 1:2 JAKE GARZIO DR
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08628-1544
Mailing Address - Country:US
Mailing Address - Phone:609-883-2900
Mailing Address - Fax:609-883-0215
Practice Address - Street 1:2 JAKE GARZIO DR
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08628-1544
Practice Address - Country:US
Practice Address - Phone:609-883-2900
Practice Address - Fax:609-883-0215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-20
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ401826Medicare PIN