Provider Demographics
NPI:1568583698
Name:TOWN OF NORWOOD
Entity Type:Organization
Organization Name:TOWN OF NORWOOD
Other - Org Name:NORWOOD HEALTH DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SIGALLE
Authorized Official - Middle Name:
Authorized Official - Last Name:REISS
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:781-762-1240
Mailing Address - Street 1:566 WASHINGTON ST
Mailing Address - Street 2:P.O. BOX 40
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-2203
Mailing Address - Country:US
Mailing Address - Phone:781-762-1240
Mailing Address - Fax:
Practice Address - Street 1:566 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-2203
Practice Address - Country:US
Practice Address - Phone:781-762-1240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY10381Medicare ID - Type Unspecified