Connecticut Renaissance, Inc.

NPI 1144510694 - Clinic/Center - 261QM0801X

NPI Details
NPI 1144510694
Enumeration Date 04/18/2011
Last Updated 07/29/2013
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JOSEPH B JOSEPH
Position EXECUTIVE DIRECTOR
Phone (203) 854-2915
Fax (203) 855-6474
Practice Location
17 HIGH ST
NORWALK CT, 06851-4723, US
Phone (203) 854-2915
Fax (203) 855-6474
Business Location
350 FAIRFIELD AVE
SUITE 701
BRIDGEPORT CT, 06604-6014, US
Phone (203) 336-5225
Fax (203) 336-2851
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
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According to our database, Connecticut Renaissance, Inc. NPI is 1144510694, taxonomy code is 261QM0801X Connecticut Renaissance, Inc. physically located at 17 High St, Norwalk CT, 06851-4723. NPI Number 1033115704 has the healthcare provider type.

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1144510694 NPI number is provided on an as is basis without warranty of any kind. 1144510694 is maintained by the National Plan & Provider Enumeration System. The contents of Connecticut Renaissance, Inc. are for informational purposes only.