Provider Demographics
NPI:1912184540
Name:THE CAMBRIDGE SCHOOL OF WESTON
Entity Type:Organization
Organization Name:THE CAMBRIDGE SCHOOL OF WESTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE AND OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:SPUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-642-8643
Mailing Address - Street 1:45 GEORGIAN RD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:MA
Mailing Address - Zip Code:02493-2110
Mailing Address - Country:US
Mailing Address - Phone:781-642-8618
Mailing Address - Fax:781-398-8341
Practice Address - Street 1:45 GEORGIAN RD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:MA
Practice Address - Zip Code:02493-2110
Practice Address - Country:US
Practice Address - Phone:781-642-8618
Practice Address - Fax:781-398-8341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health