Provider Demographics
NPI:1295910362
Name:TOWNSHIP OF HOPEWELL
Entity type:Organization
Organization Name:TOWNSHIP OF HOPEWELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:A
Authorized Official - Last Name:GUARINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-737-0120
Mailing Address - Street 1:201 WASHINGTON CROSSING PENNINGTON ROAD
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08560-1410
Mailing Address - Country:US
Mailing Address - Phone:609-737-0120
Mailing Address - Fax:
Practice Address - Street 1:201 WASHINGTON CROSSING PENNINGTON ROAD
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08560-1410
Practice Address - Country:US
Practice Address - Phone:609-737-0120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ766238OtherPTAN