Civic Farmington, PLLC
Clinic/Center, Infusion Therapy in Farmington, CT. Organization (NPI-2).
NPI number1760138366
StatusActive
Last updated in NPPESFeb 23, 2022
Details
- NPI
- 1760138366
- Entity type
- Organization (NPI-2)
- Legal business name
- Civic Farmington, PLLC
- Organization subpart
- No
- Enumeration date
- Feb 23, 2022
- Certification date
- Feb 23, 2022
- Last updated
- Feb 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QI0500X | Clinic/Center, Infusion Therapy | – | – | Yes |
Practice location
220 Farmington AveFarmington, CT 06032-1949
Phone 203-883-0038 · Fax 203-724-4838
Mailing address
249 Danbury RdWilton, CT 06897-4010
Phone 203-883-0038 · Fax 203-724-4838
Authorized official
Barry D Stein
Partner
2038830038
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