Healthcare Provider Details

I. General information

NPI: 1710008974
Provider Name (Legal Business Name): FREEHOLD BOROUGH BOARD OF EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 PARK AVE
FREEHOLD NJ
07728-2006
US

IV. Provider business mailing address

280 PARK AVE
FREEHOLD NJ
07728-2006
US

V. Phone/Fax

Practice location:
  • Phone: 732-761-2105
  • Fax: 732-462-8954
Mailing address:
  • Phone: 732-761-2105
  • Fax: 732-462-8954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateNJ

VIII. Authorized Official

Name: MRS. VERONICA WOLF
Title or Position: SCHOOL BUSINESS ADMINISTRATOR
Credential: CPA
Phone: 732-761-2105