Provider Demographics
NPI:1386876670
Name:MALDEN BOARD OF HEALTH
Entity type:Organization
Organization Name:MALDEN BOARD OF HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD OF HEALTH DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-397-7049
Mailing Address - Street 1:200 PLEASANT ST
Mailing Address - Street 2:ROOM #517
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-4802
Mailing Address - Country:US
Mailing Address - Phone:781-397-7049
Mailing Address - Fax:781-397-7350
Practice Address - Street 1:200 PLEASANT ST
Practice Address - Street 2:ROOM #517
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-4802
Practice Address - Country:US
Practice Address - Phone:781-397-7049
Practice Address - Fax:781-397-7350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA37368251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare