Organization Name: | EAST SHORE DISTRICT HEALTH DEPARTMENT |
NPI Number: | 1184670176 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARGARET K IKEDA (MEDICAL ADVISOR) |
Mailing Address: | 14 Business Park Dr Branford |
State: | CT US |
Postal Code: | 064052909 |
Phone Number: | 2034814233 |
Fax Number: | 2034836894 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 028111 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |