J P Augustine Noonan MD PC
Psychiatry & Neurology, Psychiatry in Southington, CT. Organization (NPI-2).
NPI number1013221985
StatusActive
Last updated in NPPESSep 29, 2010
Details
- NPI
- 1013221985
- Entity type
- Organization (NPI-2)
- Legal business name
- J P Augustine Noonan MD PC
- Organization subpart
- No
- Enumeration date
- Aug 3, 2010
- Last updated
- Sep 29, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 019423 | CT | Yes |
Practice location
51 N Main St2c
Southington, CT 06489-2537
Phone 860-628-6281 · Fax 860-628-0219
Mailing address
51 N Main St2c
Southington, CT 06489-2537
Phone 860-628-6281 · Fax 860-628-0219
Authorized official
J.P. Augustine Noonan
President
8606286281
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