Healthcare Provider Details

I. General information

NPI: 1790910040
Provider Name (Legal Business Name): CYNTHIA ANN NORTON D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2009
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 COPELAND DR
MANSFIELD MA
02048-1225
US

IV. Provider business mailing address

200 COPELAND DR
MANSFIELD MA
02048-1225
US

V. Phone/Fax

Practice location:
  • Phone: 508-339-4144
  • Fax: 508-342-1929
Mailing address:
  • Phone: 508-339-4144
  • Fax: 508-342-1929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number256722
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number256722
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: