=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538337449
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TOWN OF BURLINGTON
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/13/2008
-----------------------------------------------------
Last Update Date | 02/13/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 29 CENTER ST TOWN OF BURLINGTON
-----------------------------------------------------
City | BURLINGTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01803
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 781-270-1955
-----------------------------------------------------
Fax | 781-273-7687
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 29 CENTER ST TOWN OF BURLINGTON
-----------------------------------------------------
City | BURLINGTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01803
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 781-270-1955
-----------------------------------------------------
Fax | 781-273-7687
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF PUBLIC HEALTH
-----------------------------------------------------
Name | SHARON WALKER MASTENBROOK
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 781-270-1954
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251K00000X
-----------------------------------------------------
Taxonomy Name | Public Health or Welfare Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------