Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Public Health, State or Local |
261QP0905X | |||
Community Health |
261QC1500X | |||
Health Service |
261QH0100X |
| NPI # | 1700133527 |
||||||||
| LBN Legal business name | CITY OF HARTFORD | ||||||||
| Authorized official | EBONY JACKSON-SHAHEED - (DIRECTOR OF HEALTH) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 08/10/2012 | ||||||||
| Last updated | 07/28/2023 - About 3 years ago | ||||||||
| Identifiers |
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CITY OF HARTFORD
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