Provider Demographics
NPI:1942446018
Name:SOUTH BRUNSWICK TWP. HEALTH DEPT.
Entity Type:Organization
Organization Name:SOUTH BRUNSWICK TWP. HEALTH DEPT.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:PAPENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-329-4000
Mailing Address - Street 1:PO BOX 190
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08852-0190
Mailing Address - Country:US
Mailing Address - Phone:732-329-4000
Mailing Address - Fax:
Practice Address - Street 1:540 RIDGE RD
Practice Address - Street 2:
Practice Address - City:MONMOUTH JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08852-2643
Practice Address - Country:US
Practice Address - Phone:732-329-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-19
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNA251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ052346OtherRENDERING PROVIDER ID #