Organization
TOWN OF CANTON
Active
Other names
Canton Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E DOODY (FIRE CHIEF)
(781) 821-5095
Entity
Organization
Contact information
Practice address
99 REVERE ST, CANTON, MA 02021-2918
(781) 821-5095
(781) 821-0956
Mailing address
9 MAIN ST, SUITE 2K, SUTTON, MA 01590-1660
(508) 476-9740
(508) 476-9748
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032559
BCBS PROVIDER NUMBER
MA
05
—
1706608
—
MA
Enumeration date
06/25/2006
Last updated
04/03/2012
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