Ct Center for Bladder Health LLC
NPI #1174886188 in Enfield, Connecticut
Provider Information
- NPI Number
- 1174886188
- Entity Type
- Organization
- Organization Name
- Ct Center for Bladder Health LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jun 25, 2012
- Last Updated
- Jul 24, 2012
Practice Location
- Address
- 136 HAZARD AVE BLDG 6
- City
- Enfield
- State
- Connecticut
- ZIP Code
- 06082-4520
- Phone
- (860) 670-3039
Authorized Official
- Name
- MS. ALISON JOAN GORMAN, APRN
- Title
- OWNER
- Phone
- (860) 670-3039
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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