CRESCENT ST OBGYN LLC

MIDDLETOWN, CT
NPI1184884355
Entity TypeOrganization
Authorized ContactJULIE S FLAGG
Owner
860-344-9993
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CT  002684)
Enumeration Date2008-06-11
Last Update Date2008-06-11
Business Address
CRESCENT ST OBGYN LLC
49 CRESCENT ST
MIDDLETOWN, CT 06457-3601
Phone number: 860-344-9993
Mailing Address
CRESCENT ST OBGYN LLC
49 CRESCENT ST
MIDDLETOWN, CT 06457-3601
Phone number: 860-344-9993
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