| Organization Name: | CITY OF BRIDGEPORT HEALTH DEPARTMENT |
| NPI Number: | 1417143595 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARION EVANS (HEALTH DIRECTOR) |
| Mailing Address: | 376 E Washington Ave Bridgeport |
| State: | CT US |
| Postal Code: | 066082149 |
| Phone Number: | 2035767485 |
| Fax Number: | |
| NPI Enumeration Date: | 09/21/2007 |
| NPI Last Update Date: | 09/21/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 0034 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |