Healthcare Provider Details

I. General information

NPI: 1679874481
Provider Name (Legal Business Name): BRN CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2010
Last Update Date: 08/21/2024
Certification Date: 08/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 WARD HILL AVE
BRADFORD MA
01835-6928
US

IV. Provider business mailing address

25 RAILROAD SQ
HAVERHILL MA
01832-5721
US

V. Phone/Fax

Practice location:
  • Phone: 978-372-8000
  • Fax: 978-374-4423
Mailing address:
  • Phone: 978-556-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: ALFRED J ARCIDI
Title or Position: PRESIDENT
Credential:
Phone: 978-556-5900