Organization · NPI-2

A Walk-In Medical Center LLC

Emergency Medicine, Emergency Medical Services · Newington, CT

NPI number1053864348
StatusActive
Last updated in NPPESAug 3, 2016

Details

NPI
1053864348
Entity type
Organization (NPI-2)
Legal business name
A Walk-In Medical Center LLC
Organization subpart
No
Enumeration date
Aug 3, 2016
Last updated
Aug 3, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207PE0004X Emergency Medicine, Emergency Medical Services036038CTYes

Practice location

365 Willard Ave
Suite 2e
Newington, CT 06111-2373

Phone 860-436-3226 · Fax 860-436-3229

Mailing address

365 Willard Ave
Suite 2e
Newington, CT 06111-2373

Phone 860-436-3226 · Fax 860-436-3229

Authorized official

Stuart Calle
Owner
8604363226

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