Provider Demographics
NPI:1386713667
Name:CITY OF MIDDLETOWN
Entity type:Organization
Organization Name:CITY OF MIDDLETOWN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MIDDLETOWN SUPERINTENDENT OF SCHOOL
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:FRECHETTE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:860-638-1436
Mailing Address - Street 1:311 HUNTING HILL AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-4333
Mailing Address - Country:US
Mailing Address - Phone:860-638-1428
Mailing Address - Fax:
Practice Address - Street 1:311 HUNTING HILL AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-4333
Practice Address - Country:US
Practice Address - Phone:860-638-1428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)