Organization
MONTCLAIR PUBLIC SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH BREIMAN PHD (CHILD STUDY TEAM SUPERVISOR)
(973) 509-4078
Entity
Organization
Contact information
Practice address
100 CHESTNUT ST, MONTCLAIR, NJ 07042-2908
(973) 509-4078
Mailing address
100 CHESTNUT ST, MONTCLAIR, NJ 07042-2908
(973) 509-4078
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
251300000X.
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251300000X.
—
NJ
Enumeration date
02/26/2013
Last updated
02/26/2013
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