Provider Demographics
NPI:1962731869
Name:NEW BRITAIN OCCUPATIONAL HEALTH
Entity type:Organization
Organization Name:NEW BRITAIN OCCUPATIONAL HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CAVALIERE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:860-747-9441
Mailing Address - Street 1:440 NEW BRITAIN AVE
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06062-2036
Mailing Address - Country:US
Mailing Address - Phone:860-747-9441
Mailing Address - Fax:
Practice Address - Street 1:440 NEW BRITAIN AVE
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:CT
Practice Address - Zip Code:06062-2036
Practice Address - Country:US
Practice Address - Phone:860-747-9441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-24
Last Update Date:2009-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine