Organization
TOWN OF MARBLEHEAD
Active
Parent organization
TOWN OF MARBLEHEAD
Other names
Board of Health Health Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
TOWN OF MARBLEHEAD
Authorized official
MR. WAYNE D ATTRIDGE (DIRECTOR OF PUBLIC HEALTH)
(781) 631-0212
Entity
Organization
Contact information
Practice address
7 WIDGER RD, MARY ALLEY MUNICIPAL BUILDING, MARBLEHEAD, MA 01945-2197
(781) 631-0212
(781) 639-3064
Mailing address
7 WIDGER RD, MARY ALLEY MUNICIPAL BUILDING, MARBLEHEAD, MA 01945-2197
(781) 631-0212
(781) 639-3064
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2739
MEDICARE EDI SUBMITTER ID
MA
Enumeration date
03/22/2007
Last updated
07/29/2008
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