in Wallingford - Clinic/center

- NPI 1992962948

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
Address 135 N Plains Industrial Rd, Wallingford, Connecticut
Phone Number 2032691475
Fax Number 2032655357
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1992962948
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 135 N Plains Industrial Rd
City Wallingford
State Connecticut (CT)
Post Code 64922332
Phone Number 2032691475
Fax Number 2032655357

Provider's Primary Taxonomy Detail

Speciality Clinic/center
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
4042800 CT --

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