Organization Name: | WRK VENTURES, LLC |
NPI Number: | 1194993980 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | R. ROBERT ROHATSCH (MD/MANAGING PARTNER) |
Mailing Address: | 900 Main St S Suite 100, Building 2 Southbury |
State: | CT US |
Postal Code: | 064884237 |
Phone Number: | 2032621911 |
Fax Number: | 2032629434 |
NPI Enumeration Date: | 02/14/2008 |
NPI Last Update Date: | 11/23/2010 |
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: |