WINDHAM UROLOGY GROUP, PC

WILLIMANTIC, CT
NPI1407126782
Entity TypeOrganization
Authorized ContactJOHN N GRAHAM
Partner
860-928-0819
Organization Subpart ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
Enumeration Date2012-01-04
Last Update Date2012-01-04
Business Address
WINDHAM UROLOGY GROUP, PC
24 WINDHAM ST
WILLIMANTIC, CT 06226-2216
Phone number: 860-423-5656
Mailing Address
WINDHAM UROLOGY GROUP, PC
24 WINDHAM ST
WILLIMANTIC, CT 06226-2216
Phone number: 860-426-5656