567 Vauxhall, LLC
NPI #1598198038 in Waterford, Connecticut
Provider Information
- NPI Number
- 1598198038
- Entity Type
- Organization
- Organization Name
- 567 Vauxhall, LLC
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Aug 20, 2013
- Last Updated
- Aug 20, 2013
Practice Location
- Address
- 567 VAUXHALL STREET EXT STE 126
- City
- Waterford
- State
- Connecticut
- ZIP Code
- 06385-4332
- Phone
- (860) 444-0503
Authorized Official
- Name
- DR. MARTIN JUDE MALONEY, D.O.
- Title
- PSYCHIATRIST
- Phone
- (860) 444-0503
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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