# THE WILLIAM W BACKUS HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639135718
- **Authorized official:** MR. ANTHONY MASTROIANNI (REGIONAL VP OF FINANCE)
- **Authorized official phone:** (860) 889-8331

## Contact information

- **Practice address:** 326 WASHINGTON ST, NORWICH, CT 06360-2740
- **Practice address phone:** (860) 889-8331
- **Practice address fax:** (860) 823-6329
- **Mailing address:** 326 WASHINGTON ST, NORWICH, CT 06360-2740
- **Mailing address phone:** (860) 889-8331
- **Mailing address fax:** (860) 823-6329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |
| 2084P0805X | Geriatric Psychiatry Physician | — | NULL | — |
| 2084P0805X | Geriatric Psychiatry Physician | — | — | — |
| 282N00000X | General Acute Care Hospital | 0037 | CT | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | CT | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 04/28/2023