Provider Demographics
NPI:1801604806
Name:B TOWN LLC
Entity type:Organization
Organization Name:B TOWN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:METZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:908-310-7566
Mailing Address - Street 1:711 PENSACOLA RD
Mailing Address - Street 2:
Mailing Address - City:FORKED RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08731-5313
Mailing Address - Country:US
Mailing Address - Phone:908-310-7566
Mailing Address - Fax:
Practice Address - Street 1:700 10TH AVE
Practice Address - Street 2:
Practice Address - City:BELMAR
Practice Address - State:NJ
Practice Address - Zip Code:07719-2709
Practice Address - Country:US
Practice Address - Phone:908-310-7566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:B TOWN LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-21
Last Update Date:2024-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty