Organization
HERITAGE DIRECT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE INMAN WALKER M.D. (MEMBER)
(860) 874-5722
Entity
Organization
Contact information
Practice address
61 BLOOMFIELD AVE, WINDSOR, CT 06095-2809
(860) 687-5722
Mailing address
61 BLOOMFIELD AVE, WINDSOR, CT 06095-2809
(860) 687-5722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
028638
CT
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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