Provider Demographics
NPI:1952837031
Name:TOWNSHIP OF EAST BRUNSWICK
Entity Type:Organization
Organization Name:TOWNSHIP OF EAST BRUNSWICK
Other - Org Name:EAST BRUNSWICK RECREATION AND PARKS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR, RECREATION AND PARKS
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:REISSNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-390-6797
Mailing Address - Street 1:334 DUNHAMS CORNER RD
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-2656
Mailing Address - Country:US
Mailing Address - Phone:732-390-6797
Mailing Address - Fax:
Practice Address - Street 1:180 HARDENBURG LN
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-2414
Practice Address - Country:US
Practice Address - Phone:732-390-6797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-10
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ12DAI0001385HR2050X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2050XRespite Care FacilityRespite CareRespite Care Camp