Organization Name: | BOROUGH OF KENILWORTH |
NPI Number: | 1669698239 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN J FERRAIOLI (HEALTH OFFICER) |
Mailing Address: | 575 Boulevard Kenilworth |
State: | NJ US |
Postal Code: | 070331654 |
Phone Number: | 9082762740 |
Fax Number: | 9082764813 |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 08/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |