MEDICARE: CHESTERFIELD TOWNSHIP 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	:	1699163899
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHESTERFIELD TOWNSHIP SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	30 SADDLE WAY
Second Line	:
City	:	CHESTERFIELD
State	:	NJ
Zip	:	08515-2920
Country	:	US
Telephone Number	:	609-298-0307
Fax Number	:	609-291-0620

Provider Business Practice Location Address
First Line	:	30 SADDLE WAY
Second Line	:
City	:	CHESTERFIELD
State	:	NJ
Zip	:	08515-2920
Country	:	US
Telephone Number	:	609-298-0307
Fax Number	:	609-291-0620

Authorized Official
Title or Position	:	BUSINESS ADMINISTRATOR
Name	:	MR. JOHN SNUFFIN
Credential	:
Telephone Number	:	609-298-0307

Provider Enumeration Date	:	12/23/2014
Last Update Date	:	12/23/2014

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