Provider Demographics
NPI:1922254333
Name:EAST WINDSOR TOWNSHIP
Entity Type:Organization
Organization Name:EAST WINDSOR TOWNSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH NURSE
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MALEC
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:609-443-4000
Mailing Address - Street 1:16 LANNING BLVD
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-1925
Mailing Address - Country:US
Mailing Address - Phone:609-443-4000
Mailing Address - Fax:609-443-8764
Practice Address - Street 1:16 LANNING BLVD
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-1925
Practice Address - Country:US
Practice Address - Phone:609-443-4000
Practice Address - Fax:609-443-8764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ172543Medicare PIN