MEDICARE: WOODSTOWN-PILESGROVE REGIONAL SCHOOL DISTRICT

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	:	1417298126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODSTOWN-PILESGROVE REGIONAL SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	135 EAST AVE
Second Line	:
City	:	WOODSTOWN
State	:	NJ
Zip	:	08098-1336
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	135 EAST AVE
Second Line	:
City	:	WOODSTOWN
State	:	NJ
Zip	:	08098-1336
Country	:	US
Telephone Number	:	856-769-0144
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS ADMINISTRATOR
Name	:	MR. FRANK RIZZO
Credential	:
Telephone Number	:	856-769-0144

Provider Enumeration Date	:	03/05/2013
Last Update Date	:	03/05/2013

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