Provider Demographics
NPI:1558601328
Name:WATERFORD TOWNSHIP SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WATERFORD TOWNSHIP SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-768-1473
Mailing Address - Street 1:1106 OLD WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08089-1852
Mailing Address - Country:US
Mailing Address - Phone:856-768-1473
Mailing Address - Fax:856-768-8086
Practice Address - Street 1:1106 OLD WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:NJ
Practice Address - Zip Code:08089-1852
Practice Address - Country:US
Practice Address - Phone:856-768-1473
Practice Address - Fax:856-768-8086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherIRS