Provider Demographics
NPI:1326270455
Name:TOWN OF BROOKLINE
Entity Type:Organization
Organization Name:TOWN OF BROOKLINE
Other - Org Name:BROOKLINE HEALTH DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF PUBLIC HEALTH
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BALSAM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:617-730-2300
Mailing Address - Street 1:11 PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7807
Mailing Address - Country:US
Mailing Address - Phone:617-730-2300
Mailing Address - Fax:
Practice Address - Street 1:11 PIERCE ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7807
Practice Address - Country:US
Practice Address - Phone:617-730-2300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare