Provider Demographics
NPI:1740365386
Name:TOWN OF WATERTOWN
Entity type:Organization
Organization Name:TOWN OF WATERTOWN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUBLIC HEALTH
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:617-972-6445
Mailing Address - Street 1:149 MAIN STREET
Mailing Address - Street 2:BOARD OF HEALTH
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-4410
Mailing Address - Country:US
Mailing Address - Phone:617-972-6445
Mailing Address - Fax:617-972-6499
Practice Address - Street 1:149 MAIN ST
Practice Address - Street 2:BOARD OF HEALTH
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-4410
Practice Address - Country:US
Practice Address - Phone:617-972-6445
Practice Address - Fax:617-972-6499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare