Provider Demographics
NPI:1518129287
Name:BOROUGH OF LINCOLN PARK
Entity type:Organization
Organization Name:BOROUGH OF LINCOLN PARK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:PASQUALE
Authorized Official - Middle Name:A
Authorized Official - Last Name:PIGNATELLI
Authorized Official - Suffix:
Authorized Official - Credentials:HO
Authorized Official - Phone:973-270-2039
Mailing Address - Street 1:34 CHAPEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07035-1939
Mailing Address - Country:US
Mailing Address - Phone:973-270-2039
Mailing Address - Fax:
Practice Address - Street 1:34 CHAPEL HILL RD
Practice Address - Street 2:
Practice Address - City:LINCOLN PARK
Practice Address - State:NJ
Practice Address - Zip Code:07035-1939
Practice Address - Country:US
Practice Address - Phone:973-270-2039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOROUGH OF LINCOLN PARK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare