Healthcare Provider Details

I. General information

NPI: 1437236288
Provider Name (Legal Business Name): TOWN OF BILLERICA SCHOOL DEPT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 RIVER ST PROJECT BEAM BMHS
BILLERICA MA
01821
US

IV. Provider business mailing address

35 RIVER ST PROJECT BEAM BMHS
BILLERICA MA
01821
US

V. Phone/Fax

Practice location:
  • Phone: 978-436-9405
  • Fax: 978-436-9412
Mailing address:
  • Phone: 978-436-9405
  • Fax: 978-436-9412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateMA

VIII. Authorized Official

Name: DR. ANTHONY SERIO
Title or Position: SUPERINTENDENT OF SCHOOLS
Credential:
Phone: 978-436-9500