Organization
THE HOPE CLINIC, LLC
Active
Parent organization
THE HOPE CLINIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE HOPE CLINIC, LLC
Authorized official
DR. VIRGINIA M TJAN-WETTSTEIN M.D. (PHYSICIAN / OWNER)
(860) 589-4673
Entity
Organization
Contact information
Practice address
10 N MAIN ST, SUITE 210, BRISTOL, CT 06010-8102
(860) 589-4673
(860) 589-6124
Mailing address
10 N MAIN ST, SUITE 210, BRISTOL, CT 06010-8102
(860) 589-4673
(860) 589-6124
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
09/04/2007
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