Healthcare Provider Details

I. General information

NPI: 1316949795
Provider Name (Legal Business Name): TOWN OF AYER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2005
Last Update Date: 01/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MAIN ST
AYER MA
01432-1365
US

IV. Provider business mailing address

9 MAIN ST STE 2K
SUTTON MA
01590-1660
US

V. Phone/Fax

Practice location:
  • Phone: 978-772-8231
  • Fax:
Mailing address:
  • Phone: 508-476-9740
  • Fax: 508-476-9748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number3857
License Number StateMA

VIII. Authorized Official

Name: ROBERT PEDRAZZI
Title or Position: CHIEF
Credential:
Phone: 978-772-8231