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NPI Provider: 1023016961
Contact Name: Breslin P Kevin
Position: Executive VP
Phone: (201) 242-4004
341 Jordan Lane Operating Company Ii Llc Information:
341 Jordan Lane Operating Company Ii Llc organization have npi 1023016961, taxonomy code is 314000000X with license number is 2283 in . This Business address located in 341 Jordan Lane, Wethersfield, CT 61091 Connecticut. Get directions of 341 Jordan Lane Operating Company Ii Llc.
Practice Location
Address: 341 Jordan Lane, Wethersfield, CT 61091
Phone: (860) 563-0101
Business Location
Address: 341 Jordan Lane, Wethersfield, CT 61091
Phone: (860) 563-0101
Fax: (860) 257-6107
Taxonomy
Taxonomy Code: 314000000X
License Number: 2283
License Number of State: CT
Primary Taxonomy Switch: Y
Enumeration Date: 7/13/2005
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