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Organization

TOWN OF ANDOVER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NANCY REILLY (REVENUE ADMINISTRATOR)
(781) 986-1785
Entity
Organization

Contact information

Practice address
36 BARTLET ST # R, ANDOVER, MA 01810-3813
(781) 986-1785
(781) 961-6999
Mailing address
PO BOX 540, RANDOLPH, MA 02368-0540
(781) 986-1785
(781) 961-6999

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1950754
MA
Enumeration date
03/15/2007
Last updated
06/24/2008
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