Country Doc Walk-in &wellness Llc

NPI 1124362686 - Clinic/Center - 261Q00000X

NPI Details
NPI 1124362686
Enumeration Date 11/21/2012
Last Updated 09/12/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name STEFANA M STEFANA
Position OWNER
Phone (860) 535-4600
Fax (860) 535-4605
Practice Location
391 NORWICH WESTERLY RD
N STONINGTON CT, 06359-9992, US
Phone (860) 535-4600
Fax (860) 535-4605
Business Location
PO BOX 417
N STONINGTON CT, 06359-0417, US
Phone (860) 535-4600
Fax (860) 535-4605
Toxanomy
Taxonomy Code 261Q00000X
License State
License Number
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According to our database, Country Doc Walk-in &wellness Llc NPI is 1124362686, taxonomy code is 261Q00000X Country Doc Walk-in &wellness Llc physically located at 391 Norwich Westerly Rd, N Stonington CT, 06359-9992. NPI Number 1033115704 has the healthcare provider type.

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1124362686 NPI number is provided on an as is basis without warranty of any kind. 1124362686 is maintained by the National Plan & Provider Enumeration System. The contents of Country Doc Walk-in &wellness Llc are for informational purposes only.