Provider Demographics
NPI:1437344637
Name:TOWN OF SHREWSBURY
Entity type:Organization
Organization Name:TOWN OF SHREWSBURY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TOWN MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:MORGADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-841-8381
Mailing Address - Street 1:100 MAPLE AVENUE
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-5398
Mailing Address - Country:US
Mailing Address - Phone:508-841-8345
Mailing Address - Fax:508-841-8414
Practice Address - Street 1:100 MAPLE AVENUE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-5398
Practice Address - Country:US
Practice Address - Phone:508-841-8345
Practice Address - Fax:508-841-8414
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWN OF SHREWSBURY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-11
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11542251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY11093Medicare PIN