Provider Demographics
NPI:1982159885
Name:TOWN OF MONROE
Entity Type:Organization
Organization Name:TOWN OF MONROE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRCTOR OF HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:BRAULT
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:203-452-2818
Mailing Address - Street 1:7 FAN HILL RD
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-1847
Mailing Address - Country:US
Mailing Address - Phone:203-452-2818
Mailing Address - Fax:
Practice Address - Street 1:7 FAN HILL RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:CT
Practice Address - Zip Code:06468-1847
Practice Address - Country:US
Practice Address - Phone:203-452-2818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-20
Last Update Date:2016-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty