Provider Demographics
NPI:1114266079
Name:EATONTOWN PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:EATONTOWN PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR SPECIAL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:LESS
Authorized Official - Middle Name:
Authorized Official - Last Name:LASSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-935-3309
Mailing Address - Street 1:67 WYCKOFF RD
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-1747
Mailing Address - Country:US
Mailing Address - Phone:732-935-3309
Mailing Address - Fax:732-542-9037
Practice Address - Street 1:67 WYCKOFF RD
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-1747
Practice Address - Country:US
Practice Address - Phone:732-935-3309
Practice Address - Fax:732-542-9037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)