Provider Demographics
NPI:1225521560
Name:WASHINGTON BOROUGH BOARD OF EDUCATION
Entity Type:Organization
Organization Name:WASHINGTON BOROUGH BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SBA
Authorized Official - Prefix:MR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MANTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-689-7630
Mailing Address - Street 1:300 W STEWART ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-1250
Mailing Address - Country:US
Mailing Address - Phone:908-689-0763
Mailing Address - Fax:908-689-8269
Practice Address - Street 1:300 W STEWART ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882-1250
Practice Address - Country:US
Practice Address - Phone:908-689-0763
Practice Address - Fax:908-689-8269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-12
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)