Backus Health Centers

NPI 1033489984 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1033489984
Enumeration Date 01/10/2012
Last Updated 01/10/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CINDY CINDY
Position CREDENTIALS COORDINATOR
Phone (860) 537-4601
Fax
Practice Location
163 BROADWAY ST
COLCHESTER CT, 06415-1022, US
Phone (860) 537-4601
Fax
Business Location
112 LAFAYETTE ST
NORWICH CT, 06360-2737, US
Phone
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Connecticut
License Number 4880
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According to our database, Backus Health Centers NPI is 1033489984, taxonomy code is 363LA2200X and license number is 4880, license state is located at Connecticut. Backus Health Centers physically located at 163 Broadway St, Colchester CT, 06415-1022. NPI Number 1033115704 has the healthcare provider type.

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1033489984 NPI number is provided on an as is basis without warranty of any kind. 1033489984 is maintained by the National Plan & Provider Enumeration System. The contents of Backus Health Centers are for informational purposes only.