Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student Health |
261QS1000X | |||
Dental |
261QD0000X |
| NPI Number | 1114074606 |
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| LBN Legal business name | TOWN OF STRATFORD HEALTH DEPT. | ||||||||
| Authorized official | GRETA BRONEILL - (PROJECT COORDINATOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/05/2007 | ||||||||
| Last updated | 01/08/2014 - About 12 years ago | ||||||||
| Identifiers |
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