Provider Demographics
NPI:1437842481
Name:CITY OF MILFORD
Entity type:Organization
Organization Name:CITY OF MILFORD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HEALTH
Authorized Official - Prefix:MS
Authorized Official - First Name:DEEPA
Authorized Official - Middle Name:D
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:203-783-3285
Mailing Address - Street 1:82 NEW HAVEN AVE.
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-4827
Mailing Address - Country:US
Mailing Address - Phone:203-783-3285
Mailing Address - Fax:203-783-3286
Practice Address - Street 1:82 NEW HAVEN AVE.
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-4827
Practice Address - Country:US
Practice Address - Phone:203-783-3285
Practice Address - Fax:203-783-3286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-26
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local