Provider Demographics
NPI:1770157802
Name:TOWN OF NUTLEY
Entity type:Organization
Organization Name:TOWN OF NUTLEY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:EMIL
Authorized Official - Middle Name:N
Authorized Official - Last Name:PUGLIESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-250-4993
Mailing Address - Street 1:228 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-2300
Mailing Address - Country:US
Mailing Address - Phone:973-286-4936
Mailing Address - Fax:973-284-4906
Practice Address - Street 1:228 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-2300
Practice Address - Country:US
Practice Address - Phone:973-284-4936
Practice Address - Fax:973-284-4906
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWN OF NUTLEY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-13
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport