Provider Demographics
NPI:1073848313
Name:TOWN OF NORTH READING
Entity Type:Organization
Organization Name:TOWN OF NORTH READING
Other - Org Name:BOARD OF HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:HEALTH AGENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FAIR
Authorized Official - Suffix:
Authorized Official - Credentials:RS, CHO
Authorized Official - Phone:978-357-5203
Mailing Address - Street 1:235 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864-1260
Mailing Address - Country:US
Mailing Address - Phone:978-357-5242
Mailing Address - Fax:978-664-1713
Practice Address - Street 1:235 NORTH ST
Practice Address - Street 2:
Practice Address - City:NORTH READING
Practice Address - State:MA
Practice Address - Zip Code:01864-1260
Practice Address - Country:US
Practice Address - Phone:978-357-5242
Practice Address - Fax:978-664-1713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare