# PROSPECT WATERBURY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Waterbury Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477902641
- **Authorized official:** ROBERT JON ELDERS (SECRETARY)
- **Authorized official phone:** (714) 788-1249

## Contact information

- **Practice address:** 64 ROBBINS ST, WATERBURY, CT 06708-2613
- **Practice address phone:** (203) 573-7280
- **Practice address fax:** (203) 573-7325
- **Mailing address:** 64 ROBBINS ST, WATERBURY, CT 06708-2613
- **Mailing address phone:** (203) 573-7280
- **Mailing address fax:** (203) 573-7325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2016
- **Last updated:** 01/11/2021