Healthcare Provider Details

I. General information

NPI: 1649250127
Provider Name (Legal Business Name): TOWN OF SHARON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 06/30/2020
Certification Date: 06/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 S MAIN ST
SHARON MA
02067-2528
US

IV. Provider business mailing address

31 SMITH PL
CAMBRIDGE MA
02138-1007
US

V. Phone/Fax

Practice location:
  • Phone: 781-784-1522
  • Fax: 781-784-1521
Mailing address:
  • Phone: 617-682-1839
  • Fax: 617-492-0344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number3034
License Number StateMA

VIII. Authorized Official

Name: JAMES WRIGHT
Title or Position: CHIEF
Credential:
Phone: 781-784-1522