Organization Name: | CHESHIRE FITNESS ZONE, LLC |
NPI Number: | 1205961547 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRAIG M. GOLDSTEIN (OWNER) |
Mailing Address: | 132 Elm Street Cheshire |
State: | CT US |
Postal Code: | 06410 |
Phone Number: | 2032509663 |
Fax Number: | 2036999641 |
NPI Enumeration Date: | 02/23/2007 |
NPI Last Update Date: | 11/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 005678 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |