Provider Demographics
NPI:1265646566
Name:EGG HARBOR TOWNSHIP SCHOOL DISTRICT
Entity Type:Organization
Organization Name:EGG HARBOR TOWNSHIP SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR OF SPECIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:CAFARO
Authorized Official - Last Name:ATZROTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-646-7911
Mailing Address - Street 1:202 NAPLES AVE
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08232-2928
Mailing Address - Country:US
Mailing Address - Phone:609-646-7911
Mailing Address - Fax:609-646-2639
Practice Address - Street 1:202 NAPLES AVE
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08232-2928
Practice Address - Country:US
Practice Address - Phone:609-646-7911
Practice Address - Fax:609-646-2639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
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
NJ6422900Medicaid