AVANTA CLINIC LLC

GLASTONBURY, CT
NPI1619467826
Entity TypeOrganization
Authorized ContactSUDEEP BANSAL
Owner
860-430-5599
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2018-05-14
Last Update Date2018-08-28
Business Address
AVANTA CLINIC LLC
131 NEW LONDON TPKE STE 105
GLASTONBURY, CT 06033
Phone number: 860-430-5599
Mailing Address
AVANTA CLINIC LLC
131 NEW LONDON TPKE STE 105
GLASTONBURY, CT 06033-2246
Phone number:
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