Provider Demographics
NPI:1902077910
Name:TOWNSHIP OF MAHWAH
Entity Type:Organization
Organization Name:TOWNSHIP OF MAHWAH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPPER
Authorized Official - Suffix:
Authorized Official - Credentials:HEALTH OFFICER
Authorized Official - Phone:201-529-5757
Mailing Address - Street 1:PO BOX 733
Mailing Address - Street 2:
Mailing Address - City:MAHWAH
Mailing Address - State:NJ
Mailing Address - Zip Code:07430-0733
Mailing Address - Country:US
Mailing Address - Phone:201-529-5757
Mailing Address - Fax:201-529-8013
Practice Address - Street 1:475 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:MAHWAH
Practice Address - State:NJ
Practice Address - Zip Code:07430-3603
Practice Address - Country:US
Practice Address - Phone:201-529-5757
Practice Address - Fax:201-529-8013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare