Ct Center For Bladder Health Llc

NPI 1174886188 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1174886188
Enumeration Date 06/25/2012
Last Updated 07/24/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ALISON JOAN ALISON
Position OWNER
Phone (860) 670-3039
Fax
Practice Location
136 HAZARD AVE BLDG 6
ENFIELD CT, 06082-4520, US
Phone (860) 670-3039
Fax
Business Location
20 N MEADOW RD
WINDSOR CT, 06095-2524, US
Phone (860) 670-3039
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Connecticut
License Number 004196
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According to our database, Ct Center For Bladder Health Llc NPI is 1174886188, taxonomy code is 363LF0000X and license number is 004196, license state is located at Connecticut. Ct Center For Bladder Health Llc physically located at 136 Hazard Ave Bldg 6, Enfield CT, 06082-4520. NPI Number 1033115704 has the healthcare provider type.

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1174886188 NPI number is provided on an as is basis without warranty of any kind. 1174886188 is maintained by the National Plan & Provider Enumeration System. The contents of Ct Center For Bladder Health Llc are for informational purposes only.