Commonwealth of Massachusetts
NPI #1497870943 in Tewksbury, Massachusetts
Provider Information
- NPI Number
- 1497870943
- Entity Type
- Organization
- Organization Name
- Commonwealth of Massachusetts
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 365 EAST ST
- City
- Tewksbury
- State
- Massachusetts
- ZIP Code
- 01876-1950
- Phone
- (978) 863-5012
Authorized Official
- Name
- ANTHONY CASTIGLIONE
- Title
- AREA OPERATIONS MANAGER
- Phone
- (978) 863-5012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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