Organization
TOWN OF STRATFORD
Active
Organization
TOWN OF STRATFORD
Active
Other names
STRATFORD HEALTH DEPARTMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA BOISSEVAIN MPH (HEALTH DIRECTOR)
(203) 385-4090
Entity
Organization
Contact information
Practice address
468 BIRDSEYE ST, 3RD FLOOR, STRATFORD, CT 06615-6976
(203) 385-4090
(203) 381-2048
Mailing address
468 BIRDSEYE ST, 3RD FLOOR, STRATFORD, CT 06615-6976
(203) 385-4090
(203) 381-2048
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004062162
—
CT
01
—
68VNA0021CT01
ANTHEM
CT
Enumeration date
05/21/2007
Last updated
11/08/2023
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