Healthcare Provider Details

I. General information

NPI: 1174863005
Provider Name (Legal Business Name): HADDON TOWNSHIP BOARD OF EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2013
Last Update Date: 03/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 RHOADS AVENUE
WESTMONT NJ
08108-3220
US

IV. Provider business mailing address

500 RHOADS AVE
WESTMONT NJ
08108-3220
US

V. Phone/Fax

Practice location:
  • Phone: 856-869-7750
  • Fax: 856-854-7792
Mailing address:
  • Phone: 856-869-7750
  • Fax: 856-854-7792

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: JENNIFER GAULD
Title or Position: BUSINESS ADMINISTRATOR
Credential:
Phone: 856-869-7750