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Organization

THE COMMONWEALTH OF MASSACHUSETTS

Active
Parent organization
THE COMMONWEALTH OF MASSACHUSETTS
Other names
Essex County Sheriff's Dept.
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE COMMONWEALTH OF MASSACHUSETTS
Authorized official
MR. JASON WILLIAM FARO (ASSISTANT SUPERINTENDENT)
(978) 750-1900
Entity
Organization

Contact information

Practice address
20 MANNING AVE, MIDDLETON, MA 01949-9998
(978) 750-1900
(978) 750-1998
Mailing address
20 MANNING AVE, MIDDLETON, MA 01949-9998
(978) 750-1900
(978) 750-1998

Taxonomy

Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary

Other

Enumeration date
12/23/2025
Last updated
12/23/2025
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