CLEANSLATE MEDICAL GROUP OF CONNECTICUT LLC

HARTFORD, CT
NPI1073057071
Entity TypeOrganization
Authorized ContactROBERT HUTCHISON
CFO
615-425-0220
Organization Subpart ?No
Primary Taxonomy207RA0401X Internal Medicine, Addiction Medicine
Additional Taxonomies207R00000X Internal Medicine
Enumeration Date2016-12-09
Last Update Date2023-03-23
Business Address
CLEANSLATE MEDICAL GROUP OF CONNECTICUT LLC
85 GILLETT ST
HARTFORD, CT 06105-2630
Phone number: 615-425-0220
Mailing Address
CLEANSLATE MEDICAL GROUP OF CONNECTICUT LLC
8 CADILLAC DR STE 180
BRENTWOOD, TN 37027-5393
Phone number: 615-425-0220