Provider Demographics
NPI:1326236936
Name:TOWN OF SHERBORN
Entity Type:Organization
Organization Name:TOWN OF SHERBORN
Other - Org Name:BOARD OF HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:CHAIRMAN/BOARD OF HEALTH
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PSILAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-651-7852
Mailing Address - Street 1:19 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SHERBORN
Mailing Address - State:MA
Mailing Address - Zip Code:01770-1025
Mailing Address - Country:US
Mailing Address - Phone:508-651-7852
Mailing Address - Fax:508-651-7868
Practice Address - Street 1:19 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SHERBORN
Practice Address - State:MA
Practice Address - Zip Code:01770-1025
Practice Address - Country:US
Practice Address - Phone:508-651-7852
Practice Address - Fax:508-651-7868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare