Healthcare Provider Details

I. General information

NPI: 1093102493
Provider Name (Legal Business Name): WESTWOOD REGIONAL SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2015
Last Update Date: 04/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 RIDGEWOOD RD
TOWNSHIP OF WASHINGTON NJ
07676-4811
US

IV. Provider business mailing address

701 RIDGEWOOD RD
TOWNSHIP OF WASHINGTON NJ
07676-4811
US

V. Phone/Fax

Practice location:
  • Phone: 201-664-0880
  • Fax: 201-722-0436
Mailing address:
  • Phone: 201-664-0880
  • Fax: 201-722-0436

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: DR. RAYMOND GONZLAEZ
Title or Position: SUPERINTENDENT OF SCHOOLS
Credential:
Phone: 201-664-0880