The Commonwealth of Massachusetts

NPI #1306701248 in Middleton, Massachusetts

Provider Information

NPI Number
1306701248
Entity Type
Organization
Organization Name
The Commonwealth of Massachusetts
Subpart
Yes (part of a larger organization)
Parent Organization
THE COMMONWEALTH OF MASSACHUSETTS
Primary Specialty
Clinic/Center - Prison Health
Enumeration Date
Dec 23, 2025
Last Updated
Dec 23, 2025

Practice Location

Address
20 MANNING AVE
ZIP Code
01949-9998
Phone
(978) 750-1900

Authorized Official

Name
MR. JASON WILLIAM FARO
Title
ASSISTANT SUPERINTENDENT
Phone
(978) 750-1900

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Prison HealthPrison Health

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The Commonwealth of Massachusetts

Part of The Commonwealth of Massachusetts

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