Infinite Well LLC
NPI #1356798573 in Bethany, Connecticut
Provider Information
- NPI Number
- 1356798573
- Entity Type
- Organization
- Organization Name
- Infinite Well LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- May 17, 2016
- Last Updated
- May 17, 2016
Practice Location
- Address
- 286 BEACON RD
- City
- Bethany
- State
- Connecticut
- ZIP Code
- 06524-3080
- Phone
- (203) 537-0699
Authorized Official
- Name
- BOAZ ITSHAKY
- Title
- OWNER
- Phone
- (203) 537-0699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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