Organization Name: | TWSP OF HANOVER |
NPI Number: | 1710169206 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE NELSON VAN ORDEN (HEALTH OFFICER) |
Mailing Address: | 1000 Route 10 Whippany |
State: | NJ US |
Postal Code: | 079811005 |
Phone Number: | 9734282485 |
Fax Number: | |
NPI Enumeration Date: | 11/27/2007 |
NPI Last Update Date: | 10/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | A490 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |