Organization
NATURA MEDICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEIRDRE JOAN O'CONNOR ND (OWNER)
(860) 572-9566
Entity
Organization
Contact information
Practice address
12 ROOSEVELT AVE, MYSTIC, CT 06355-2809
(860) 572-9566
(860) 572-7318
Mailing address
12 ROOSEVELT AVE, MYSTIC, CT 06355-2809
(860) 572-9566
(860) 572-7318
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
000085
CT
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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