Organization
NAUGATUCK VALLEY GASTROENTEROLOGY CONSULTANTS LLC
Active
Organization
NAUGATUCK VALLEY GASTROENTEROLOGY CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EILEEN S PARADIS (ADMINISTRATOR)
(203) 756-6422
Entity
Organization
Contact information
Practice address
1312 W MAIN ST, SUITE 101, WATERBURY, CT 06708-3121
(203) 756-6422
(203) 756-2448
Mailing address
1312 W MAIN ST, SUITE 101, WATERBURY, CT 06708-3121
(203) 756-6422
(203) 756-2448
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004146777
—
CT
01
—
CK2200
RAILROAD MEDICARE
CT
Enumeration date
03/07/2007
Last updated
02/21/2014
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