MEDICARE: WEST CAPE MAY 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
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1134577760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST CAPE MAY BOARD OF EDUCATION

Provider Business Mailing Address
First Line	:	301 MOORE ST
Second Line	:
City	:	WEST CAPE MAY
State	:	NJ
Zip	:	08204-1129
Country	:	US
Telephone Number	:	609-884-4614
Fax Number	:	609-884-0932

Provider Business Practice Location Address
First Line	:	301 MOORE ST
Second Line	:
City	:	WEST CAPE MAY
State	:	NJ
Zip	:	08204-1129
Country	:	US
Telephone Number	:	609-884-4614
Fax Number	:	609-884-0932

Authorized Official
Title or Position	:	CHIEF SCHOOL ADMINISTRATOR/SBA
Name	:	DR. ALFRED SAVIO
Credential	:
Telephone Number	:	609-884-4614

Provider Enumeration Date	:	05/24/2016
Last Update Date	:	05/24/2016

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