Montowese Physicians Group
Nurse Practitioner in North Haven, CT. Organization (NPI-2).
NPI number1760664403
StatusActive
Last updated in NPPESDec 5, 2007
Details
- NPI
- 1760664403
- Entity type
- Organization (NPI-2)
- Legal business name
- Montowese Physicians Group
- Organization subpart
- Yes
- Enumeration date
- Dec 5, 2007
- Last updated
- Dec 5, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Practice location
163 Quinnipiac AveNorth Haven, CT 06473-3623
Phone 203-624-3303 · Fax 203-789-4433
Mailing address
163 Quinnipiac AveNorth Haven, CT 06473-3623
Phone 203-624-3303 · Fax 203-789-4433
Authorized official
Farooq H Khan
President / Administrator
2036243303
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