Jcallenmd, LLC

NPI #1063956316 in Branford, Connecticut

Provider Information

NPI Number: 1063956316
Entity Type: Organization
Organization Name: Jcallenmd, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 6, 2016
Last Updated: Dec 6, 2016

Practice Location

Address: 765 E MAIN ST
City: Branford
State: Connecticut
ZIP Code: 06405-2922
Phone: (860) 378-7841

Authorized Official

Name: DR. JONATHAN CRAIG ALLEN, MD
Title: CEO/PRESIDENT
Phone: (860) 378-7841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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