Provider Demographics
NPI:1851440770
Name:MIDDLE-BROOK REGIONAL HEALTH COMMISSION
Entity Type:Organization
Organization Name:MIDDLE-BROOK REGIONAL HEALTH COMMISSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH OFFICER DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:G
Authorized Official - Last Name:SUMNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-356-8090
Mailing Address - Street 1:1200 MOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLESEX
Mailing Address - State:NJ
Mailing Address - Zip Code:08846-2037
Mailing Address - Country:US
Mailing Address - Phone:732-356-8090
Mailing Address - Fax:732-356-1249
Practice Address - Street 1:1200 MOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:MIDDLESEX
Practice Address - State:NJ
Practice Address - Zip Code:08846-2037
Practice Address - Country:US
Practice Address - Phone:732-356-8090
Practice Address - Fax:732-356-1249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ748938Medicare ID - Type Unspecified