Provider Demographics
NPI:1801818729
Name:TOWN OF WESTON
Entity Type:Organization
Organization Name:TOWN OF WESTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SOAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-893-2324
Mailing Address - Street 1:PO BOX 4110
Mailing Address - Street 2:DEPT 820
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01888-4110
Mailing Address - Country:US
Mailing Address - Phone:781-893-2324
Mailing Address - Fax:
Practice Address - Street 1:394 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:MA
Practice Address - Zip Code:02493-1512
Practice Address - Country:US
Practice Address - Phone:781-893-2324
Practice Address - Fax:781-529-0129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA040159OtherBCBS PROVIDER NUMBER
MA1709275Medicaid
MA040159Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER