Provider Demographics
NPI:1063542512
Name:CITY OF SOMERVILLE
Entity type:Organization
Organization Name:CITY OF SOMERVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERANTOZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-625-6600
Mailing Address - Street 1:181 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02143-3106
Mailing Address - Country:US
Mailing Address - Phone:617-625-6600
Mailing Address - Fax:617-628-7294
Practice Address - Street 1:181 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02143-3106
Practice Address - Country:US
Practice Address - Phone:617-625-6600
Practice Address - Fax:617-628-7294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1951882Medicaid