Organization
NEW HAVEN PUBLIC SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PETERS APRN (DIRECTOR SCHOOL HEALTH CENTERS)
(203) 946-4860
Entity
Organization
Contact information
Practice address
170 DERBY AVE, NEW HAVEN, CT 06511-5144
(203) 946-4860
Mailing address
54 MEADOW ST, 3RD FLOOR, NEW HAVEN, CT 06519-1783
(203) 946-4860
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0755
CT
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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