Provider Demographics
NPI:1083834048
Name:CAMDEN CITY BOARD OF EDUCATION
Entity Type:Organization
Organization Name:CAMDEN CITY BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD SECRETARY-BUSINESS ADMINISTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVEREAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-966-2036
Mailing Address - Street 1:201 N FRONT ST
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08102-1661
Mailing Address - Country:US
Mailing Address - Phone:856-966-2036
Mailing Address - Fax:856-966-2139
Practice Address - Street 1:201 N FRONT ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08102-1661
Practice Address - Country:US
Practice Address - Phone:856-966-2036
Practice Address - Fax:856-966-2139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6730302Medicaid