MEDICARE: HOBOKEN BOARD OF EDUCATION

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)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316155385
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOBOKEN BOARD OF EDUCATION

Provider Business Mailing Address
First Line	:	1115 CLINTON ST
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-3201
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1115 CLINTON ST
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-3201
Country	:	US
Telephone Number	:	201-356-3610
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS ADMINISTRATOR
Name	:	MR. BRIAN BUCKLEY
Credential	:
Telephone Number	:	201-356-3610

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	08/22/2020

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Directions to “HOBOKEN BOARD OF EDUCATION ” Practice Location

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