Ct Comprehensive Medical PLLC
Family Medicine, Bariatric Medicine in Oxford, CT. Organization (NPI-2).
NPI number1104528587
StatusActive
Last updated in NPPESMar 20, 2023
Details
- NPI
- 1104528587
- Entity type
- Organization (NPI-2)
- Legal business name
- Ct Comprehensive Medical PLLC
- Organization subpart
- Yes
- Enumeration date
- Mar 20, 2023
- Certification date
- Mar 20, 2023
- Last updated
- Mar 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QB0002X | Family Medicine, Bariatric Medicine | – | – | Yes |
Practice location
71 Oxford Rd Unit LOxford, CT 06478-1900
Phone 203-828-0013
Mailing address
71 Oxford Rd Unit LOxford, CT 06478-1900
Phone 203-828-0013
Authorized official
Deidre Schettino
Manager
8454646289
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