Healthcare Provider Details

I. General information

NPI: 1750444675
Provider Name (Legal Business Name): TOWN OF GREENWICH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 02/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 FIELD POINT RD
GREENWICH CT
06830-6463
US

IV. Provider business mailing address

101 FIELD POINT RD
GREENWICH CT
06830-6463
US

V. Phone/Fax

Practice location:
  • Phone: 203-622-7836
  • Fax: 203-622-7770
Mailing address:
  • Phone: 203-622-7836
  • Fax: 203-622-7770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: CAROLINE C BAISLEY
Title or Position: DIRECTOR OF HEALTH
Credential:
Phone: 203-622-7836