Provider Demographics
NPI:1447348107
Name:TOWN OF SHARON
Entity type:Organization
Organization Name:TOWN OF SHARON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-784-1500
Mailing Address - Street 1:90 S MAIN ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-1954
Mailing Address - Country:US
Mailing Address - Phone:781-784-1500
Mailing Address - Fax:781-784-2391
Practice Address - Street 1:90 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-1954
Practice Address - Country:US
Practice Address - Phone:781-784-1500
Practice Address - Fax:781-784-2371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY11051Medicare ID - Type Unspecified