National Provider Identifier Database

PEACH ASSISTANCE PROGRAM
Voluntary or Charitable


Contact Information

PEACH ASSISTANCE PROGRAM
1172 TRISTRAM CIR
MANTUA TOWNSHIP, NJ08051-2205
Phone: 856-822-0453
Fax: 856-539-5820
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for PEACH ASSISTANCE PROGRAM

NPI Number 1477148252
Legal business name
LBN
PEACH ASSISTANCE PROGRAM
Authorized official ALLISON ALLEN FUNDENBERG - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/04/2021
Last updated 03/04/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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