Organization Name: | AMERICAN CURRENT CARE PA PC |
NPI Number: | 1003096041 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TOM FOGARTY (SENIOR VP / CHIEF MEDICAL OFFICER) |
Mailing Address: | 900 Northrup Road Wallingford |
State: | CT US |
Postal Code: | 064921997 |
Phone Number: | 2039491534 |
Fax Number: | 2039499036 |
NPI Enumeration Date: | 11/07/2007 |
NPI Last Update Date: | 09/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |