1720249139 NPI number — HARMONY HEALTHCARE FOR WOMEN LIMITED LIABILITY COMPANY

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720249139 NPI number — HARMONY HEALTHCARE FOR WOMEN LIMITED LIABILITY COMPANY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARMONY HEALTHCARE FOR WOMEN LIMITED LIABILITY COMPANY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720249139
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/16/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 8210
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BLACKWOOD
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08012-8210
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-232-0050
Provider Business Mailing Address Fax Number:
856-232-0251

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 KINGS WAY E
Provider Second Line Business Practice Location Address:
WASHINGTON PAVILIONS, STE. D4
Provider Business Practice Location Address City Name:
SEWELL
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08080-2237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-232-0050
Provider Business Practice Location Address Fax Number:
856-232-0251
Provider Enumeration Date:
06/18/2008

Additional Information

Authorized Official

Authorized Official Last Name:
KANOFF
Authorized Official First Name:
MARTIN
Authorized Official Middle Name:
E.
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
856-232-0050

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  25MB04130200 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2330202 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2026 www.npivalidator.com