# TOWN OF SOUTHBOROUGH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southborough Board of Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376676130
- **Authorized official:** MR. BRIAN PAUL BALLANTINE (FINANCE DIRECTOR)
- **Authorized official phone:** (508) 485-0710

## Contact information

- **Practice address:** 17 COMMON ST, SOUTHBOROUGH, MA 01772-1663
- **Practice address phone:** (508) 481-3013
- **Practice address fax:** (508) 480-0161
- **Mailing address:** 17 COMMON ST, SOUTHBOROUGH, MA 01772-1663
- **Mailing address phone:** (508) 481-3013
- **Mailing address fax:** (508) 480-0161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | MA | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 08/22/2020
