MEDICARE: HADDON HEIGHTS SCHOOL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1023358371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HADDON HEIGHTS SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	316A 7TH AVE
Second Line	:
City	:	HADDON HEIGHTS
State	:	NJ
Zip	:	08035-1828
Country	:	US
Telephone Number	:	856-547-1412
Fax Number	:	856-547-3868

Provider Business Practice Location Address
First Line	:	316A 7TH AVE
Second Line	:
City	:	HADDON HEIGHTS
State	:	NJ
Zip	:	08035-1828
Country	:	US
Telephone Number	:	856-547-1412
Fax Number	:	856-547-3868

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	MR. MICHAEL ADAMS
Credential	:
Telephone Number	:	856-547-1412

Provider Enumeration Date	:	02/25/2013
Last Update Date	:	02/25/2013

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