SOUTHERN CONNECTICUT GERIATRIC & PREVENTIVE MEDICINE LLC

NEW HAVEN, CT
NPI1679701882
Entity TypeOrganization
Authorized ContactASEFEH HEIAT
Member
203-871-9224
Organization Subpart ?No
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
(Licence: CT  041288)
Additional Taxonomies2083P0901X Preventive Medicine, Public Health & General Preventive Medicine
(Licence: CT  041288)
207RG0300X Internal Medicine, Geriatric Medicine
Enumeration Date2009-06-25
Last Update Date2021-10-04
Business Address
SOUTHERN CONNECTICUT GERIATRIC & PREVENTIVE MEDICINE LLC
390 LIVINGSTON ST
NEW HAVEN, CT 06511-1336
Phone number: 203-871-9224
Mailing Address
SOUTHERN CONNECTICUT GERIATRIC & PREVENTIVE MEDICINE LLC
390 LIVINGSTON ST
NEW HAVEN, CT 06511-1336
Phone number: 203-871-9224