Provider Demographics
NPI:1396987400
Name:TOWN OF ESSEX
Entity type:Organization
Organization Name:TOWN OF ESSEX
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH AGENT
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WOZNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-768-7614
Mailing Address - Street 1:30 MARTIN ST
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:MA
Mailing Address - Zip Code:01929-1235
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:30 MARTIN ST
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:MA
Practice Address - Zip Code:01929-1235
Practice Address - Country:US
Practice Address - Phone:978-768-7614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWN OF ESSEX, MA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-03
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare