is a Clinic/center in Wallingford, Connecticut. practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for is 1992962948. The last update date is .
's current location address is 135 N Plains Industrial Rd, Wallingford, Connecticut. You can contact this provider via phone number 2032691475 and fax number 2032655357. The mailing address for is 135 N Plains Industrial Rd, Wallingford, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 135 N Plains Industrial Rd, Wallingford, Connecticut |
Phone Number | 2032691475 |
Fax Number | 2032655357 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1992962948 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 135 N Plains Industrial Rd |
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City | Wallingford |
State | Connecticut (CT) |
Post Code | 64922332 |
Phone Number | 2032691475 |
Fax Number | 2032655357 |
Provider's Primary Taxonomy Detail
Speciality | Clinic/center |
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Taxonomy | 261Q00000X |
Licence No | 605 |
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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4042800 | CT | -- |
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