Healthcare Provider Details

I. General information

NPI: 1427041581
Provider Name (Legal Business Name): NORWALK HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 MAPLE ST
NORWALK CT
06850-3815
US

IV. Provider business mailing address

24 STEVENS ST
NORWALK CT
06850-3852
US

V. Phone/Fax

Practice location:
  • Phone: 203-852-2216
  • Fax: 203-855-3596
Mailing address:
  • Phone: 203-852-2216
  • Fax: 203-855-3596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number0053
License Number StateCT

VIII. Authorized Official

Name: MR. DANIEL DEBARBA
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 203-739-7240