Organization Name: | A WALK-IN MEDICAL CENTER LLC |
NPI Number: | 1043346539 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STUART C CALLE (MEDICAL DIRECTOR) |
Mailing Address: | 365 Willard Ave Ste 2e Newington |
State: | CT US |
Postal Code: | 061112316 |
Phone Number: | 8604363226 |
Fax Number: | 8604363229 |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 05/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | 036038 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |