Oliver Taeb Llc

NPI 1114321239 - Clinic/Center - 261Q00000X

NPI Details
NPI 1114321239
Enumeration Date 10/17/2014
Last Updated 10/17/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ALI OLIVER ALI
Position CEO
Phone (860) 618-5910
Fax (831) 618-5917
Practice Location
1 TORRINGTON OFFICE PLZ
301
TORRINGTON CT, 06790-3854, US
Phone (860) 618-5910
Fax (831) 618-5917
Business Location
1 TORRINGTON OFFICE PLZ
301
TORRINGTON CT, 06790-3854, US
Phone (860) 618-5910
Fax (831) 618-5917
Toxanomy
Taxonomy Code 261Q00000X
License State Connecticut
License Number 1620
Remove 1114321239 NPI Number
 

According to our database, Oliver Taeb Llc NPI is 1114321239, taxonomy code is 261Q00000X and license number is 1620, license state is located at Connecticut. Oliver Taeb Llc physically located at 1 Torrington Office Plz, Torrington CT, 06790-3854. NPI Number 1033115704 has the healthcare provider type.

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1114321239 NPI number is provided on an as is basis without warranty of any kind. 1114321239 is maintained by the National Plan & Provider Enumeration System. The contents of Oliver Taeb Llc are for informational purposes only.