Organization Name: | CTUC03 P.C. |
NPI Number: | 1043607294 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS KELLY (DIRECTOR) |
Mailing Address: | 100 Mill Plain Rd Danbury |
State: | CT US |
Postal Code: | 068115178 |
Phone Number: | 2038262600 |
Fax Number: | 2038262139 |
NPI Enumeration Date: | 04/24/2015 |
NPI Last Update Date: | 04/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |