Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE BOSS (DIRECTOR)
(203) 937-3888
Entity
Organization
Contact information
Practice address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(860) 667-6756
Mailing address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
019689
NY
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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