Healthcare Provider Details

I. General information

NPI: 1033124623
Provider Name (Legal Business Name): TOWN OF NORTH ANDOVER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 03/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 OSGOOD ST SUITE 2035
NORTH ANDOVER MA
01845-1048
US

IV. Provider business mailing address

1600 OSGOOD ST SUITE 2035
NORTH ANDOVER MA
01845-1048
US

V. Phone/Fax

Practice location:
  • Phone: 978-688-9540
  • Fax:
Mailing address:
  • Phone: 978-688-9540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateMA

VIII. Authorized Official

Name: DR. FRANCIS MACMILLAN
Title or Position: PUBLIC HEALTH PHYSICIAN
Credential: M.D.
Phone: 978-686-7834