Organization
CT CENTER FOR BLADDER HEALTH LLC
Active
Organization
CT CENTER FOR BLADDER HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALISON JOAN GORMAN APRN (OWNER)
(860) 670-3039
Entity
Organization
Contact information
Practice address
136 HAZARD AVE BLDG 6, ENFIELD, CT 06082-4520
(860) 670-3039
Mailing address
20 N MEADOW RD, WINDSOR, CT 06095-2524
(860) 670-3039
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
004196
CT
Other
Enumeration date
06/25/2012
Last updated
07/24/2012
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