Provider Demographics
NPI:1538337449
Name:TOWN OF BURLINGTON
Entity type:Organization
Organization Name:TOWN OF BURLINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUBLIC HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:WALKER
Authorized Official - Last Name:MASTENBROOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-270-1954
Mailing Address - Street 1:29 CENTER ST
Mailing Address - Street 2:TOWN OF BURLINGTON
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803
Mailing Address - Country:US
Mailing Address - Phone:781-270-1955
Mailing Address - Fax:781-273-7687
Practice Address - Street 1:29 CENTER ST
Practice Address - Street 2:TOWN OF BURLINGTON
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803
Practice Address - Country:US
Practice Address - Phone:781-270-1955
Practice Address - Fax:781-273-7687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY11057Medicare PIN