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Organization

COMMONWEALTH OF MASSACHUSETTS

Active
Parent organization
COMMONWEALTH OF MASSACHUSETTS
Other names
Taunton Attleboro Area Office, DDS TAUNTON/ATTLEBORO AREA OFFICE
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMMONWEALTH OF MASSACHUSETTS
Authorized official
DYLAN LATTIMORE (DEPUTY COMMISSIONER OF ADMINISTRAT)
(857) 408-0675
Entity
Organization

Contact information

Practice address
21 SPRING STREET, SUITE #1, TAUNTON, MA 02780
(508) 824-0614
Mailing address
40 BROAD STREET, 4TH FLOOR, BOSTON, MA 02109
(617) 727-5608
(617) 624-7577

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
EXEMPT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110000087N
MA
05
1813102
MA
Enumeration date
03/16/2007
Last updated
03/19/2026
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