BRIDGEWELL
NPI 1497088546
Registered Nurse - Community Health in Lynnfield, MA
Active since September 08, 2009
About Bridgewell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIDGEWELL (NPI 1497088546) is a healthcare organization registered as a community health in Lynnfield, Massachusetts and active in the NPI registry since September 2009. The organization lists Sherman Sol Fox, Medical Director, as its authorized official.
NPPES Registry Identity
NPI1497088546
Entity TypeOrganization
Primary Taxonomy163WC1500X
Legal Business NameBRIDGEWELL
Location Address471 BROADWAYLynnfield, MA 01940-1401
Mailing Address471 BroadwayLynnfield, MA 01940-1401 · (339) 883-2164 · Fax (339) 883-2187
Phone(339) 883-2164
Fax(339) 883-2187
Organization SubpartNo
Authorized OfficialSherman Sol FoxMedical Director · (978) 750-6828
Enumeration DateSeptember 8, 2009
✔ NPI 1497088546 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License✔ Licensed in MA · 143022
471 BROADWAY, Lynnfield, MA 01940
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497088546, enumerated as an "organization" on September 08, 2009.
The provider is located at 471 BROADWAY LYNNFIELD, MA 01940 and the phone number is (339) 883-2164.
Registered Nurse with taxonomy code 163WC1500X and a focus in Community Health.