CORE PRINCIPLES
Organization (NPI-2)
Active
Specialist
Provider Information
- NPI Number
1477926459- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 98 MAIN ST, SOUTHINGTON, CT, 064892500
- Phone
- (860) 604-6068
Specialties & Taxonomies
Specialist
Primary License: CT #6813
All Addresses
MAILING
98 MAIN ST
SOUTHINGTON, CT, 064892500