MEDICARE: TOWN OF MONROE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0901X	Public Health & General Preventive Medicine Physician

General Provider Information

NPI Number	:	1982159885
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF MONROE

Provider Business Mailing Address
First Line	:	7 FAN HILL RD
Second Line	:
City	:	MONROE
State	:	CT
Zip	:	06468-1847
Country	:	US
Telephone Number	:	203-452-2818
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 FAN HILL RD
Second Line	:
City	:	MONROE
State	:	CT
Zip	:	06468-1847
Country	:	US
Telephone Number	:	203-452-2818
Fax Number	:

Authorized Official
Title or Position	:	DIRCTOR OF HEALTH
Name	:	NANCY CAROL BRAULT
Credential	:	MPH
Telephone Number	:	203-452-2818

Provider Enumeration Date	:	08/20/2016
Last Update Date	:	08/20/2016

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Directions to “TOWN OF MONROE ” Practice Location

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