CT CENTER FOR BLADDER HEALTH LLC
Organization (NPI-2)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1174886188- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 136 HAZARD AVE BLDG 6, ENFIELD, CT, 060824520
- Phone
- (860) 670-3039
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: CT #004196