Provider Demographics
NPI:1215263678
Name:AUTHENTIDATE HOLDING CORP.
Entity type:Organization
Organization Name:AUTHENTIDATE HOLDING CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:O'CONNELL
Authorized Official - Middle Name:
Authorized Official - Last Name:BENJAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-787-1699
Mailing Address - Street 1:300 CONNELL DR
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-2781
Mailing Address - Country:US
Mailing Address - Phone:908-787-1700
Mailing Address - Fax:
Practice Address - Street 1:300 CONNELL DR
Practice Address - Street 2:5TH FLOOR
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-2781
Practice Address - Country:US
Practice Address - Phone:908-787-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-20
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies