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Organization
TREE OF LIFE PRIMARY CARE AND RECOVERY LLC
Active
Organization
TREE OF LIFE PRIMARY CARE AND RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONICA MUKERJEE DNP (CLINICAL DIRECTOR)
(646) 785-7452
Entity
Organization
Contact information
Practice address
129 CHURCH ST STE 417, NEW HAVEN, CT 06510-2052
(646) 785-7452
Mailing address
129 CHURCH ST STE 417, NEW HAVEN, CT 06510-2052
(646) 785-7452
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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