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Organization

TOWNSHIP OF WEST ORANGE

Active
Other names
West Orange Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH FONZINO HO (HEALTH OFFICER TOWNSHIP OF W O)
(973) 325-4124
Entity
Organization

Contact information

Practice address
10 GASTON STREET, WEST ORANGE HEALTH CENTER, WEST ORANGE, NJ 07052
(973) 325-4136
(973) 324-0206
Mailing address
66 MAIN ST, WEST ORANGE, NJ 07052-5404
(973) 325-4124
(973) 325-4005

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
213E00000X
Podiatrist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0029335
NJ
Enumeration date
01/17/2008
Last updated
02/11/2008
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