Provider Demographics
NPI:1902055007
Name:TOWN OF WAYLAND
Entity Type:Organization
Organization Name:TOWN OF WAYLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUBLIC HEALTH
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:CALICHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RS, CHO
Authorized Official - Phone:508-358-3617
Mailing Address - Street 1:41 COCHITUATE RD
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01778-2614
Mailing Address - Country:US
Mailing Address - Phone:508-358-3617
Mailing Address - Fax:508-358-3619
Practice Address - Street 1:41 COCHITUATE RD
Practice Address - Street 2:
Practice Address - City:WAYLAND
Practice Address - State:MA
Practice Address - Zip Code:01778-2614
Practice Address - Country:US
Practice Address - Phone:508-358-3617
Practice Address - Fax:508-358-3619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-12
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare