Organization
BOROUGH OF MADISON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN THEESE MS (HEALTH OFFICER)
(973) 593-3072
Entity
Organization
Contact information
Practice address
28 WALNUT ST, MADISON, NJ 07940-1638
(973) 593-3079
Mailing address
28 WALNUT ST, MADISON, NJ 07940-1638
(973) 593-3079
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
25MA03374400
NJ
Other
Enumeration date
10/24/2007
Last updated
11/16/2007
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