Healthcare Provider Details

I. General information

NPI: 1902851819
Provider Name (Legal Business Name): TOWN OF NORFOLK TREASURERS OFFICER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 01/25/2024
Certification Date: 01/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 MAIN ST
NORFOLK MA
02056-1416
US

IV. Provider business mailing address

PO BOX 4110, DEPT 6940
WOBURN MA
01888
US

V. Phone/Fax

Practice location:
  • Phone: 508-528-3207
  • Fax: 508-541-3303
Mailing address:
  • Phone: 508-528-3207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number3026
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: ERRON QUINCY KINNEY
Title or Position: CHIEF
Credential:
Phone: 508-528-3207