Healthcare Provider Details

I. General information

NPI: 1669560512
Provider Name (Legal Business Name): CITY OF NORWALK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 04/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 EAST AVE
NORWALK CT
06851-5702
US

IV. Provider business mailing address

137 EAST AVE
NORWALK CT
06851-5702
US

V. Phone/Fax

Practice location:
  • Phone: 203-854-7866
  • Fax: 203-854-7934
Mailing address:
  • Phone: 203-854-7866
  • Fax: 203-854-7934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number0036
License Number StateCT

VIII. Authorized Official

Name: HARRY RILLING
Title or Position: MAYOR
Credential:
Phone: 203-854-7707