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Organization

PARADIGM HEALTHCARE CENTER OF WATERBURY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SCOTT L ZISKIN (MEMBER/VICE PRESIDENT)
(860) 729-6268
Entity
Organization

Contact information

Practice address
177 WHITEWOOD RD, WATERBURY, CT 06708-1545
(203) 757-9491
(203) 575-1714
Mailing address
177 WHITEWOOD RD, WATERBURY, CT 06708-1545
(203) 757-9491
(203) 575-1714

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
075219
MEDICARE BY ASSIGNMENT
CT
05
PENDING
CT
Enumeration date
05/15/2009
Last updated
05/15/2009
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