Advanced Pain And Regenerative Medical Solutions Corp
Family Medicine in Shelton, CT. Organization (NPI-2).
NPI number1245014331
StatusActive
Last updated in NPPESSep 28, 2023
Details
- NPI
- 1245014331
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Pain And Regenerative Medical Solutions Corp
- Organization subpart
- No
- Enumeration date
- Aug 21, 2023
- Certification date
- Sep 28, 2023
- Last updated
- Sep 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
10 Progress DrShelton, CT 06484-6293
Phone 203-948-8127
Mailing address
10 Progress Dr Ste 2fShelton, CT 06484-6294
Authorized official
David Waltzer
Owner
2039488127
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