Organization
WALLINGFORD ENDOSCOPY CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY NESTLER MD (MEDICAL DIRECTOR)
(203) 309-6096
Entity
Organization
Contact information
Practice address
863 N MAIN STREET EXT STE 300, WALLINGFORD, CT 06492-2434
(714) 766-5882
Mailing address
863 N MAIN STREET EXT STE 300, WALLINGFORD, CT 06492-2434
(203) 309-6096
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2018
Last updated
01/09/2019
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