Organization
TOWN OF PEMBROKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE SHAW FRASER (ADMINISTRATIVE ASSISTANT)
(781) 293-5416
Entity
Organization
Contact information
Practice address
100 CENTER ST, PEMBROKE, MA 02359-2207
(781) 293-4673
(781) 293-4650
Mailing address
100 CENTER ST, PEMBROKE, MA 02359-2207
(781) 293-5416
(781) 293-9013
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
08/24/2012
Last updated
11/15/2017
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