Healthcare Provider Details

I. General information

NPI: 1053477588
Provider Name (Legal Business Name): CITY OF DANBURY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 05/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 DEER HILL AVE
DANBURY CT
06810
US

IV. Provider business mailing address

155 DEER HILL AVE
DANBURY CT
06810-7726
US

V. Phone/Fax

Practice location:
  • Phone: 203-797-4625
  • Fax: 203-796-1596
Mailing address:
  • Phone: 203-797-4625
  • Fax: 203-796-1596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. LISA MICHELLE MORRISSEY
Title or Position: DIRECTOR OF HEALTH AND HUMAN SERVIC
Credential: MPH
Phone: 203-797-4625