THE MODERN DOCTOR LLC

SHELTON, CT
NPI1013443860
Entity TypeOrganization
Authorized ContactSHANNON HOMKOVICS
Doctor
203-521-2620
Organization Subpart ?No
Primary Taxonomy175F00000X Naturopath
(Licence: CT  000591)
Enumeration Date2017-05-11
Last Update Date2017-05-11
Business Address
THE MODERN DOCTOR LLC
460 HUNTINGTON ST
SHELTON, CT 06484-4620
Phone number: 203-521-2620
Mailing Address
THE MODERN DOCTOR LLC
460 HUNTINGTON ST
SHELTON, CT 06484-4620
Phone number: 203-521-2620
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