Organization Name: | GENERATIONS FAMILY HEALTH CENTER INC. |
NPI Number: | 1023345089 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARVIND SHAW (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 37 Kennedy Dr Putnam |
State: | CT US |
Postal Code: | 062601946 |
Phone Number: | 8604507471 |
Fax Number: | |
NPI Enumeration Date: | 11/12/2009 |
NPI Last Update Date: | 02/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |