Healthcare Provider Details

I. General information

NPI: 1902924913
Provider Name (Legal Business Name): BOXFORD PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 MIDDLETON RD
BOXFORD MA
01921-2336
US

IV. Provider business mailing address

28 MIDDLETON RD
BOXFORD MA
01921-2336
US

V. Phone/Fax

Practice location:
  • Phone: 978-887-4119
  • Fax: 978-887-3521
Mailing address:
  • Phone: 978-887-4119
  • Fax: 978-887-3521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. BERNARD F. CREEDEN
Title or Position: SUPERINTENDENT OF SCHOOLS
Credential: ED.D
Phone: 978-887-0771