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NPI Code Detail

MEDICARE: BRADLEY BEACH BOARD OF EDUCATION

MEDICARE: BRADLEY BEACH BOARD OF EDUCATION
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
1251300000XLocal Education Agency (LEA)NJ

General Provider Information

NPI Number : 1134312556
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRADLEY BEACH BOARD OF EDUCATION
Provider Business Mailing Address
First Line : 515 BRINLEY AVE
Second Line :
City : BRADLEY BEACH
State : NJ
Zip : 07720-1311
Country : US
Telephone Number : 732-775-4413
Fax Number : 732-775-2463
Provider Business Practice Location Address
First Line : 515 BRINLEY AVE
Second Line :
City : BRADLEY BEACH
State : NJ
Zip : 07720-1311
Country : US
Telephone Number : 732-775-4413
Fax Number : 732-775-2463
Authorized Official
Title or Position : BUSINESS ADMINISTRATOR
Name : MR. DAVID TONZOLA
Credential :
Telephone Number : 732-775-4413
Provider Enumeration Date : 08/20/2007
Last Update Date : 08/20/2007

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Directions to “BRADLEY BEACH BOARD OF EDUCATION ” Practice Location

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