Windham Urology Group, PC
NPI #1407126782 in Willimantic, Connecticut
Provider Information
- NPI Number
- 1407126782
- Entity Type
- Organization
- Organization Name
- Windham Urology Group, PC
- Primary Specialty
- Nurse Practitioner - Adult Health
- Enumeration Date
- Jan 4, 2012
- Last Updated
- Jan 4, 2012
Practice Location
- Address
- 24 WINDHAM ST
- City
- Willimantic
- State
- Connecticut
- ZIP Code
- 06226-2216
- Phone
- (860) 423-5656
Authorized Official
- Name
- JOHN N GRAHAM, MD
- Title
- PARTNER
- Phone
- (860) 928-0819
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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