Provider Demographics
NPI:1124263827
Name:TOWNSHIP OF WEST MILFORD HEALTH DEPARTMENT
Entity type:Organization
Organization Name:TOWNSHIP OF WEST MILFORD HEALTH DEPARTMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:TOWNSHIP PHYSCIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:M.
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:BARAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-728-2725
Mailing Address - Street 1:1480 UNION VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:WEST MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07480-1338
Mailing Address - Country:US
Mailing Address - Phone:973-728-2725
Mailing Address - Fax:973-728-2723
Practice Address - Street 1:1480 UNION VALLEY RD
Practice Address - Street 2:
Practice Address - City:WEST MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07480-1338
Practice Address - Country:US
Practice Address - Phone:973-728-2725
Practice Address - Fax:973-728-2723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA032187251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJWE401789OtherPROVIDER BILLING NUMBER