Provider Demographics
NPI:1285759324
Name:TOWNSHIP OF HARDING
Entity type:Organization
Organization Name:TOWNSHIP OF HARDING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANNIBAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-267-8000
Mailing Address - Street 1:21 BLUE MILL ROAD
Mailing Address - Street 2:BOX 666
Mailing Address - City:NEW VERNON
Mailing Address - State:NJ
Mailing Address - Zip Code:07976-0666
Mailing Address - Country:US
Mailing Address - Phone:973-267-8000
Mailing Address - Fax:973-829-7025
Practice Address - Street 1:21 BLUE MILL ROAD
Practice Address - Street 2:
Practice Address - City:NEW VERNON
Practice Address - State:NJ
Practice Address - Zip Code:07976-0666
Practice Address - Country:US
Practice Address - Phone:973-267-8000
Practice Address - Fax:973-829-7025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ688170Medicare ID - Type Unspecified