The Modern Doctor LLC

NPI #1013443860 in Shelton, Connecticut

Provider Information

NPI Number: 1013443860
Entity Type: Organization
Organization Name: The Modern Doctor LLC
Primary Specialty: Naturopath
Enumeration Date: May 11, 2017
Last Updated: May 11, 2017

Practice Location

Address: 460 HUNTINGTON ST
City: Shelton
State: Connecticut
ZIP Code: 06484-4620
Phone: (203) 521-2620

Authorized Official

Name: SHANNON HOMKOVICS, N.D.
Title: DOCTOR
Phone: (203) 521-2620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Naturopath	175F00000X	Primary

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