MEDICARE: LEONIA 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	:	1659722791
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEONIA BOARD OF EDUCATION

Provider Business Mailing Address
First Line	:	570 GRAND AVE
Second Line	:
City	:	LEONIA
State	:	NJ
Zip	:	07605-2102
Country	:	US
Telephone Number	:	201-302-5200
Fax Number	:	201-947-7295

Provider Business Practice Location Address
First Line	:	570 GRAND AVE
Second Line	:
City	:	LEONIA
State	:	NJ
Zip	:	07605-2102
Country	:	US
Telephone Number	:	201-302-5200
Fax Number	:	201-947-7295

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	MRS. JOANNE T MEGARGEE
Credential	:
Telephone Number	:	201-302-5200

Provider Enumeration Date	:	06/30/2016
Last Update Date	:	06/30/2016

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Directions to “LEONIA BOARD OF EDUCATION ” Practice Location

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