Healthcare Provider Details

I. General information

NPI: 1831239540
Provider Name (Legal Business Name): NORTH STONINGTON BOARD OF EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 NORWICH WESTERLY RD
NORTH STONINGTON CT
06359-1543
US

IV. Provider business mailing address

297 NORWICH WESTERLY RD
NORTH STONINGTON CT
06359-1615
US

V. Phone/Fax

Practice location:
  • Phone: 860-535-4451
  • Fax:
Mailing address:
  • Phone: 860-535-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateCT

VIII. Authorized Official

Name: MS. NATALIE J. PUKAS
Title or Position: SUPERINTENDENT
Credential:
Phone: 860-535-2800