1528245271 NPI number — USCG CLINIC CAPE MAY

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 1528245271 NPI number — USCG CLINIC CAPE MAY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
USCG CLINIC CAPE MAY
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:
1528245271
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/24/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 MUNRO AVE
Provider Second Line Business Mailing Address:
HEALTH SERVICES DIVISION
Provider Business Mailing Address City Name:
CAPE MAY
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08204-5000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-898-6900
Provider Business Mailing Address Fax Number:
609-898-6962

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 MUNRO AVE
Provider Second Line Business Practice Location Address:
HEALTH SERVICES DIVISION
Provider Business Practice Location Address City Name:
CAPE MAY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08204-5000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-898-6900
Provider Business Practice Location Address Fax Number:
609-898-6962
Provider Enumeration Date:
01/24/2008

Additional Information

Authorized Official

Authorized Official Last Name:
COFIELD
Authorized Official First Name:
BERNARD
Authorized Official Middle Name:
Authorized Official Title or Position:
CLINIC ADMINISTRATOR
Authorized Official Telephone Number:
609-898-6860

Provider Taxonomy Codes

  • Taxonomy code: 261QM1100X , 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)





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