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NPI Provider: 1780689836
Contact Name: DEFLORIO G MARTIN
Position: DIRECTOR OF PHARMACY
Phone: (203) 679-6928
Masonic Healthcare Center Information:
Masonic Healthcare Center organization have npi 1780689836, taxonomy code is 314000000X with license number is 119-C in . This Business address located in 22 Masonic Ave, Wallingford, CT 64923 Connecticut. Get directions of Masonic Healthcare Center.
Practice Location
Address: 22 Masonic Ave, Wallingford, CT 64923
Phone: (203) 679-6928
Business Location
Address: 22 Masonic Ave, Wallingford, CT 64923
Phone: (203) 679-6928
Fax: (203) 679-5970
Taxonomy
Taxonomy Code: 314000000X
License Number: 119-C
License Number of State: CT
Primary Taxonomy Switch: Y
Enumeration Date: 6/16/2005
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