Gericare
NPI #1366687790 in Wolcott, Connecticut
Provider Information
- NPI Number
- 1366687790
- Entity Type
- Organization
- Organization Name
- Gericare
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Dec 15, 2008
- Last Updated
- Feb 22, 2011
Practice Location
- Address
- 464 WOLCOTT RD
- City
- Wolcott
- State
- Connecticut
- ZIP Code
- 06716-2626
- Phone
- (203) 633-4560
Authorized Official
- Name
- JONATHAN J BRENES
- Title
- CEO
- Phone
- (203) 910-7533
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Internal Medicine |
| Nurse Practitioner |
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