Fair Haven Community Health Clinic Inc

NPI 1104803444 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1104803444
Enumeration Date 12/28/2005
Last Updated 10/30/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SUZANNE SUZANNE
Position CEO
Phone (203) 777-7411
Fax (203) 777-8506
Practice Location
374 GRAND AVE
NEW HAVEN CT, 06513, US
Phone (203) 777-7411
Fax (203) 777-8506
Business Location
374 GRAND AVE
NEW HAVEN CT, 06513, US
Phone (203) 777-7411
Fax (203) 777-8506
Toxanomy
Taxonomy Code 124Q00000X
License State
License Number
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According to our database, Fair Haven Community Health Clinic Inc NPI is 1104803444, taxonomy code is 124Q00000X Fair Haven Community Health Clinic Inc physically located at 374 Grand Ave, New Haven CT, 06513. NPI Number 1033115704 has the healthcare provider type.

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1104803444 NPI number is provided on an as is basis without warranty of any kind. 1104803444 is maintained by the National Plan & Provider Enumeration System. The contents of Fair Haven Community Health Clinic Inc are for informational purposes only.