Brett Taylor
Technician, Other in New London, CT. Individual provider (NPI-1).
NPI number1013000314
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1013000314
- Entity type
- Individual (NPI-1)
- Name
- Brett Taylor
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
15 Mohegan AveNew London, CT 06320-8100
Phone 860-444-8424
Mailing address
15 Mohegan AveNew London, CT 06320-8100
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