MEDICARE: MONTGOMERY TOWNSHIP BOARD OF ED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)		NJ

General Provider Information

NPI Number	:	1003292194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONTGOMERY TOWNSHIP BOARD OF ED

Provider Business Mailing Address
First Line	:	1014 ROUTE 601
Second Line	:
City	:	SKILLMAN
State	:	NJ
Zip	:	08558-2119
Country	:	US
Telephone Number	:	609-466-7600
Fax Number	:	609-466-0944

Provider Business Practice Location Address
First Line	:	1014 ROUTE 601
Second Line	:
City	:	SKILLMAN
State	:	NJ
Zip	:	08558-2119
Country	:	US
Telephone Number	:	609-466-7600
Fax Number	:	609-466-0944

Authorized Official
Title or Position	:	DIRECTOR OF PUPIL SERVICES
Name	:	MRS. MARY MCLOUGHLIN
Credential	:
Telephone Number	:	609-466-7600

Provider Enumeration Date	:	07/31/2015
Last Update Date	:	07/21/2022

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