Provider Demographics
NPI:1366774531
Name:WEST WINDSOR TOWNSHIP
Entity type:Organization
Organization Name:WEST WINDSOR TOWNSHIP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR HEALTH AND HUMAN SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HARY
Authorized Official - Suffix:
Authorized Official - Credentials:HO
Authorized Official - Phone:609-799-2400
Mailing Address - Street 1:271 CLARKSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-5333
Mailing Address - Country:US
Mailing Address - Phone:609-936-8400
Mailing Address - Fax:609-799-2136
Practice Address - Street 1:271 CLARKSVILLE RD
Practice Address - Street 2:
Practice Address - City:PRINCETON JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08550-5333
Practice Address - Country:US
Practice Address - Phone:609-936-8400
Practice Address - Fax:609-799-2136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-12
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ683202Medicare PIN