Healthcare Provider Details
I. General information
NPI: 1902145089
Provider Name (Legal Business Name): VOORHEES TOWNSHIP PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/08/2013
Last Update Date: 02/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
329 ROUTE 73
VOORHEES NJ
08043-9525
US
IV. Provider business mailing address
329 ROUTE 73
VOORHEES NJ
08043-9525
US
V. Phone/Fax
- Phone: 856-751-8446
- Fax: 856-489-8390
- Phone: 856-751-8446
- Fax: 856-489-8390
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251300000X |
| Taxonomy | Local Education Agency (LEA) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
FRANK
DEBERARDINIS
Title or Position: ASSISTANT SUPERINTENDENT
Credential:
Phone: 856-751-8446