UC OF MOHEGAN LAKE, LLC

GLASTONBURY, CT
NPI1780048280
Entity TypeOrganization
Authorized ContactJEANNIE M KENKARE
Cmo
203-885-0808
Organization Subpart ?No
Primary Taxonomy261QU0200X Clinic/Center, Urgent Care
Enumeration Date2016-04-11
Last Update Date2016-04-11
Business Address
UC OF MOHEGAN LAKE, LLC
2928 MAIN ST
GLASTONBURY, CT 06033-1007
Phone number: 860-657-8289
Mailing Address
UC OF MOHEGAN LAKE, LLC
3085 E MAIN ST STE 12A
MOHEGAN LAKE, NY 10547-1542
Phone number: 914-358-9612
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