Evergreen Endoscopy Center, Llc

NPI 1093974602 - Clinic/Center - 261QE0800X

NPI Details
NPI 1093974602
Enumeration Date 06/09/2008
Last Updated 02/11/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name KATHY ANN KATHY
Position NURSE ADMINISTRATOR
Phone (860) 644-7336
Fax
Practice Location
2400 TAMARACK AVENUE
SUITE 100
SOUTH WINDSOR CT, 06074, US
Phone (860) 644-7336
Fax
Business Location
2400 TAMARACK AVENUE
SUITE 100
SOUTH WINDSOR CT, 06074, US
Phone (860) 644-7336
Fax
Toxanomy
Taxonomy Code 261QE0800X
License State
License Number
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According to our database, Evergreen Endoscopy Center, Llc NPI is 1093974602, taxonomy code is 261QE0800X Evergreen Endoscopy Center, Llc physically located at 2400 Tamarack Avenue, South Windsor CT, 06074. NPI Number 1033115704 has the healthcare provider type.

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1093974602 NPI number is provided on an as is basis without warranty of any kind. 1093974602 is maintained by the National Plan & Provider Enumeration System. The contents of Evergreen Endoscopy Center, Llc are for informational purposes only.