Provider Demographics
NPI:1154598001
Name:TOWN OF HANOVER
Entity type:Organization
Organization Name:TOWN OF HANOVER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MUNICIPAL FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:781-826-5498
Mailing Address - Street 1:550 HANOVER STREET
Mailing Address - Street 2:SUITE 17 BOARD OF HEALTH
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339-2242
Mailing Address - Country:US
Mailing Address - Phone:781-826-4611
Mailing Address - Fax:781-826-5289
Practice Address - Street 1:550 HANOVER STREET
Practice Address - Street 2:SUITE 17 BOARD OF HEALTH
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-2242
Practice Address - Country:US
Practice Address - Phone:781-826-4611
Practice Address - Fax:781-826-5289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
TOY11113Medicare PIN