Provider Demographics
NPI:1376948695
Name:CALDWELL-WEST CALDWELL
Entity Type:Organization
Organization Name:CALDWELL-WEST CALDWELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:PALOZZOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-228-5291
Mailing Address - Street 1:104 GRAY ST
Mailing Address - Street 2:HARRISON SCHOOL
Mailing Address - City:WEST CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-7615
Mailing Address - Country:US
Mailing Address - Phone:973-228-5291
Mailing Address - Fax:973-830-2310
Practice Address - Street 1:104 GRAY ST
Practice Address - Street 2:HARRISON SCHOOL
Practice Address - City:WEST CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-7615
Practice Address - Country:US
Practice Address - Phone:973-228-5291
Practice Address - Fax:973-830-2310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-29
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)