Provider Demographics
NPI:1003146044
Name:TOWN OF NAHANT
Entity Type:Organization
Organization Name:TOWN OF NAHANT
Other - Org Name:BOARD OF HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:TOWN OF NAHANT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:P
Authorized Official - Last Name:CULLINAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-581-9927
Mailing Address - Street 1:334 NAHANT ROAD
Mailing Address - Street 2:
Mailing Address - City:NAHANT
Mailing Address - State:MA
Mailing Address - Zip Code:01908-1469
Mailing Address - Country:US
Mailing Address - Phone:781-581-9927
Mailing Address - Fax:
Practice Address - Street 1:334 NAHANT ROAD
Practice Address - Street 2:
Practice Address - City:NAHANT
Practice Address - State:MA
Practice Address - Zip Code:01908
Practice Address - Country:US
Practice Address - Phone:781-581-9927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-13
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare