NORTHEASTERN NEPHROLOGY ASSOCIATES, PC

VERNON, CT
NPI1235279787
Entity TypeOrganization
Authorized ContactANGELITO C BACAY
President
860-872-8563
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: CT  029990)
Additional Taxonomies207RN0300X Internal Medicine, Nephrology
(Licence: CT  029990)
Enumeration Date2007-02-07
Last Update Date2012-01-23
Business Address
NORTHEASTERN NEPHROLOGY ASSOCIATES, PC
281 HARTFORD TPKE SUITE 210
VERNON, CT 06066-4784
Phone number: 860-872-8563
Mailing Address
NORTHEASTERN NEPHROLOGY ASSOCIATES, PC
281 HARTFORD TPKE SUITE 210
VERNON, CT 06066-4784
Phone number: 860-872-8563