Healthcare Provider Details

I. General information

NPI: 1447590526
Provider Name (Legal Business Name): GLOUCESTER COUNTY VOCATIONAL-TECHNICAL SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2013
Last Update Date: 07/29/2021
Certification Date: 07/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 TANYARD RD
SEWELL NJ
08080-4220
US

IV. Provider business mailing address

1360 TANYARD RD
SEWELL NJ
08080-4220
US

V. Phone/Fax

Practice location:
  • Phone: 856-468-1445
  • Fax: 856-468-0901
Mailing address:
  • Phone: 856-468-1445
  • Fax: 856-468-0901

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: MRS. AMY CAPRIOTTI
Title or Position: ASST. SUPERINTENDENT FOR BUSINESS
Credential:
Phone: 856-468-1445