# BRIDGEWELL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497088546
- **Authorized official:** MR. SHERMAN SOL FOX MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (978) 750-6828

## Contact information

- **Practice address:** 471 BROADWAY, LYNNFIELD, MA 01940-1401
- **Practice address phone:** (339) 883-2164
- **Practice address fax:** (339) 883-2187
- **Mailing address:** 471 BROADWAY, LYNNFIELD, MA 01940-1401
- **Mailing address phone:** (339) 883-2164
- **Mailing address fax:** (339) 883-2187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC1500X | Community Health Registered Nurse | 143022 | MA | Yes |

## Other

- **Enumeration date:** 09/08/2009
- **Last updated:** 09/08/2009