Provider Demographics
NPI:1851473276
Name:TOWN OF ORANGE
Entity Type:Organization
Organization Name:TOWN OF ORANGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT BOARD OF HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:W
Authorized Official - Last Name:MALLET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-544-1107
Mailing Address - Street 1:6 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:MA
Mailing Address - Zip Code:01364
Mailing Address - Country:US
Mailing Address - Phone:978-544-1107
Mailing Address - Fax:978-544-1138
Practice Address - Street 1:135 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:MA
Practice Address - Zip Code:01364-6421
Practice Address - Country:US
Practice Address - Phone:978-544-1107
Practice Address - Fax:978-544-1138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center