Wallingford Endoscopy Center, Llc.
NPI #1255820544 in Wallingford, Connecticut
Provider Information
- NPI Number
- 1255820544
- Entity Type
- Organization
- Organization Name
- Wallingford Endoscopy Center, Llc.
- Primary Specialty
- Clinic/Center - Endoscopy
- Enumeration Date
- May 2, 2018
- Last Updated
- Jan 9, 2019
Practice Location
- Address
- 863 N MAIN STREET EXT STE 300
- City
- Wallingford
- State
- Connecticut
- ZIP Code
- 06492-2434
- Phone
- (714) 766-5882
Authorized Official
- Name
- JEFFREY NESTLER, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (203) 309-6096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Endoscopy — Endoscopy |
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