Healthcare Provider Details

I. General information

NPI: 1922935600
Provider Name (Legal Business Name): MIDDLESEX COUNTY STEM CHARTER SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 CARLOCK AVE
PERTH AMBOY NJ
08861-2319
US

IV. Provider business mailing address

101 METTLERS RD
SOMERSET NJ
08873-7213
US

V. Phone/Fax

Practice location:
  • Phone: 732-649-3954
  • Fax:
Mailing address:
  • Phone: 732-649-3954
  • 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: FIONA DAUBON
Title or Position: BUSINESS ADMINISTRATOR
Credential:
Phone: 732-649-3954