Provider Demographics
NPI:1558457523
Name:TOWN OF WESTWOOD
Entity Type:Organization
Organization Name:TOWN OF WESTWOOD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:SHEA
Authorized Official - Suffix:
Authorized Official - Credentials:RS
Authorized Official - Phone:781-320-1026
Mailing Address - Street 1:50 CARBY ST
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-1004
Mailing Address - Country:US
Mailing Address - Phone:781-320-1026
Mailing Address - Fax:781-461-6838
Practice Address - Street 1:50 CARBY ST
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090-1004
Practice Address - Country:US
Practice Address - Phone:781-320-1026
Practice Address - Fax:781-461-6838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY11049OtherMEDICARE PROVIDER TRANSACTION ACESS NUMBER