Provider Demographics
NPI:1992844658
Name:MARLBOROUGH BOARD OF EDUCATION
Entity Type:Organization
Organization Name:MARLBOROUGH BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:SALVATORE
Authorized Official - Middle Name:
Authorized Official - Last Name:MENZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-295-6220
Mailing Address - Street 1:25 SCHOOL DR
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:CT
Mailing Address - Zip Code:06447-1507
Mailing Address - Country:US
Mailing Address - Phone:860-295-6220
Mailing Address - Fax:
Practice Address - Street 1:25 SCHOOL DR
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:CT
Practice Address - Zip Code:06447-1507
Practice Address - Country:US
Practice Address - Phone:860-295-6220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004101474251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)