Organization
TOWNSHIP OF EGG HARBOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER A MILLER (ADMINISTRATOR)
(609) 926-4044
Entity
Organization
Contact information
Practice address
3125 FIRE RD, EGG HARBOR TOWNSHIP, NJ 08234-9601
(609) 383-0003
Mailing address
3515 BARGAINTOWN RD, EGG HARBOR TOWNSHIP, NJ 08234-8317
(609) 926-4044
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
EHT03106
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0041459
—
NJ
01
—
2264666000
INDEPENDENCE BLUE CROSS
NJ
01
—
60004051
HORIZON NJ HEALTH
NJ
01
—
91001253300
AMERICHOICE NUMBER
NJ
01
—
P00147449
MEDICARE RAILROAD
NJ
Enumeration date
02/14/2007
Last updated
08/22/2020
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