Organization
WALTER S MOZDEN LO
Active
Organization
WALTER S MOZDEN LO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER S MOZDEN (OWNER)
(860) 889-9887
Entity
Organization
Contact information
Practice address
7 CLINIC DR, NORWICH, CT 06360-2915
(860) 889-9887
Mailing address
7 CLINIC DR, NORWICH, CT 06360-2915
(860) 889-9887
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
001299
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0187430001
MEDICARE
CT
01
—
100000818CT02
LUMENOS
CT
01
—
19796
SPECTERA
CT
Enumeration date
02/07/2008
Last updated
02/07/2008
Update your record
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