Organization
THE HOPE CLINIC, LLC
Active
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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