Healthcare Provider Details

I. General information

NPI: 1316155385
Provider Name (Legal Business Name): HOBOKEN BOARD OF EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 CLINTON ST
HOBOKEN NJ
07030-3201
US

IV. Provider business mailing address

1115 CLINTON ST
HOBOKEN NJ
07030-3201
US

V. Phone/Fax

Practice location:
  • Phone: 201-356-3610
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. BRIAN BUCKLEY
Title or Position: BUSINESS ADMINISTRATOR
Credential:
Phone: 201-356-3610