Provider Demographics
NPI:1982849667
Name:RUNNING S EQUINE VETERINARY SERVICES
Entity Type:Organization
Organization Name:RUNNING S EQUINE VETERINARY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:S
Authorized Official - Last Name:STALLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-832-5484
Mailing Address - Street 1:118 FAIRMOUNT RD W
Mailing Address - Street 2:
Mailing Address - City:CALIFON
Mailing Address - State:NJ
Mailing Address - Zip Code:07830-3331
Mailing Address - Country:US
Mailing Address - Phone:908-832-5454
Mailing Address - Fax:
Practice Address - Street 1:118 FAIRMOUNT RD W
Practice Address - Street 2:
Practice Address - City:CALIFON
Practice Address - State:NJ
Practice Address - Zip Code:07830-3331
Practice Address - Country:US
Practice Address - Phone:908-832-5454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29VI00326000174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174M00000XOther Service ProvidersVeterinarianGroup - Single Specialty