MEDICARE: WASHINGTON TOWNSHIP BOARD F 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)

General Provider Information

NPI Number	:	1619216793
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WASHINGTON TOWNSHIP BOARD F EDUCATION

Provider Business Mailing Address
First Line	:	206 E HOLLY AVE
Second Line	:
City	:	SEWELL
State	:	NJ
Zip	:	08080-2641
Country	:	US
Telephone Number	:	856-589-6644
Fax Number	:	856-582-1918

Provider Business Practice Location Address
First Line	:	206 E HOLLY AVE
Second Line	:
City	:	SEWELL
State	:	NJ
Zip	:	08080-2641
Country	:	US
Telephone Number	:	856-589-6644
Fax Number	:	856-582-1918

Authorized Official
Title or Position	:	SCHOOL BUSINESS ADMINISTRATOR/BOARD
Name	:	MISS MARGARET F MEEHAN
Credential	:	CPA
Telephone Number	:	856-589-6644

Provider Enumeration Date	:	02/08/2013
Last Update Date	:	02/08/2013

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