Healthcare Provider Details

I. General information

NPI: 1083953319
Provider Name (Legal Business Name): BOUND BROOK SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2013
Last Update Date: 02/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

337 W 2ND ST
BOUND BROOK NJ
08805-1833
US

IV. Provider business mailing address

337 W 2ND ST
BOUND BROOK NJ
08805-1833
US

V. Phone/Fax

Practice location:
  • Phone: 732-652-7920
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: DR. EDWARD HOFFMAN
Title or Position: SUPERINTENDENT
Credential:
Phone: 732-652-7920