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1619467826
AVANTA CLINIC LLC
GLASTONBURY, CT
NPI
1619467826
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Entity Type
Organization
Authorized Contact
SUDEEP BANSAL
Owner
860-430-5599
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2018-05-14
Last Update Date
2018-08-28
Business Address
AVANTA CLINIC LLC
131 NEW LONDON TPKE STE 105
GLASTONBURY, CT 06033
Phone number: 860-430-5599
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Mailing Address
AVANTA CLINIC LLC
131 NEW LONDON TPKE STE 105
GLASTONBURY, CT 06033-2246
Phone number:
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