MEDICARE: WOODBRIDGE 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)		NJ

General Provider Information

NPI Number	:	1982815072
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODBRIDGE TOWNSHIP SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 428
Second Line	:
City	:	WOODBRIDGE
State	:	NJ
Zip	:	07095-0428
Country	:	US
Telephone Number	:	732-602-8575
Fax Number	:	732-750-9763

Provider Business Practice Location Address
First Line	:	423 SCHOOL ST.
Second Line	:
City	:	WOODBRIDGE
State	:	NJ
Zip	:	07095
Country	:	US
Telephone Number	:	732-602-8567
Fax Number	:	732-750-9763

Authorized Official
Title or Position	:	DIRECTOR OF SPECIAL SERVICES
Name	:	MS. RITA MILLER
Credential	:
Telephone Number	:	732-602-8575

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	08/22/2020

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