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Organization
NORTHEAST NATURAL MEDICINE, LLC
Active
Organization
NORTHEAST NATURAL MEDICINE, LLC
Active
Other names
Dr. Shawn Carney
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN M. CARNEY N.D. (OWNER)
(800) 723-2962
Entity
Organization
Contact information
Practice address
19 CHURCH HILL RD, SUITE 1, NEWTOWN, CT 06470-1651
(800) 723-2962
Mailing address
19 CHURCH HILL RD, SUITE 1, NEWTOWN, CT 06470-1651
(800) 723-2962
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
000425
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053646323
NPI
CT
Enumeration date
09/06/2014
Last updated
09/06/2014
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