Provider Demographics
NPI:1922680693
Name:BROOKLAWN BOARD OF EDUCATION
Entity Type:Organization
Organization Name:BROOKLAWN BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSETTI
Authorized Official - Suffix:
Authorized Official - Credentials:ED D
Authorized Official - Phone:856-456-4039
Mailing Address - Street 1:301 HAAKON RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08030-2717
Mailing Address - Country:US
Mailing Address - Phone:856-456-4039
Mailing Address - Fax:
Practice Address - Street 1:301 HAAKON RD
Practice Address - Street 2:
Practice Address - City:BROOKLAWN
Practice Address - State:NJ
Practice Address - Zip Code:08030-2717
Practice Address - Country:US
Practice Address - Phone:856-456-4039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)