Provider Demographics
NPI:1619008497
Name:WAKEFIELD PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:WAKEFIELD PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:DR
Authorized Official - First Name:MAYNARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SUFFREDINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-246-6400
Mailing Address - Street 1:60 FARM ST.
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880
Mailing Address - Country:US
Mailing Address - Phone:781-246-6400
Mailing Address - Fax:
Practice Address - Street 1:60 FARM ST.
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880
Practice Address - Country:US
Practice Address - Phone:781-246-6400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1952633OtherWAKEFIELD PUBLIC SCHOOLS