Organization
BOROUGH OF WILDWOOD CREST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN YECCO (BOROUGH CLERK)
(609) 522-5176
Entity
Organization
Contact information
Practice address
6101 PACIFIC AVE, WILDWOOD CREST, NJ 08260-4113
(609) 522-5176
Mailing address
6101 PACIFIC AVE, WILDWOOD CREST, NJ 08260-4113
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3416L0300X
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1172598
HORIZON NJ HEALTH
—
01
—
2159308000
AMERIHEALTH HMO NJ DE
—
01
—
30020586
KEYSTONE MERCY HEALTH PLA
—
01
—
3181877
AETNA HMO
—
01
—
91000989200
AMERICHOICE OF NJ
—
05
—
9110909
—
NJ
01
—
A28787660
OXFORD HEALTH PLANS
—
01
—
P00007707
RAILROAD MEDICARE
—
Enumeration date
07/31/2006
Last updated
08/22/2020
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