Central Ctonnecticut Oral Maxillofacial& Implant Surgery, Pc

NPI 1104183409 - Clinic/Center - 261QS0112X

NPI Details
NPI 1104183409
Enumeration Date 04/12/2012
Last Updated 02/18/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name JOSEPH R JOSEPH
Position ORAL SURGEON
Phone (860) 586-8507
Fax (860) 586-8697
Practice Location
836 FARMINGTON AVE
SUITE 223
WEST HARTFORD CT, 06119-1505, US
Phone (860) 586-8507
Fax (860) 586-8697
Business Location
836 FARMINGTON AVE
SUITE 223
WEST HARTFORD CT, 06119-1505, US
Phone (860) 586-8507
Fax (860) 586-8697
Toxanomy
Taxonomy Code 261QS0112X
License State
License Number
Remove 1104183409 NPI Number
 

According to our database, Central Ctonnecticut Oral Maxillofacial& Implant Surgery, Pc NPI is 1104183409, taxonomy code is 261QS0112X Central Ctonnecticut Oral Maxillofacial& Implant Surgery, Pc physically located at 836 Farmington Ave, West Hartford CT, 06119-1505. NPI Number 1033115704 has the healthcare provider type.

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1104183409 NPI number is provided on an as is basis without warranty of any kind. 1104183409 is maintained by the National Plan & Provider Enumeration System. The contents of Central Ctonnecticut Oral Maxillofacial& Implant Surgery, Pc are for informational purposes only.