Organization
REAL LIFE MEDICAL LLC
Active
Organization
REAL LIFE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARL MICHAEL DAUPHINAIS MD (OWNER)
(860) 470-6630
Entity
Organization
Contact information
Practice address
1245 FARMINGTON AVE # 226, WEST HARTFORD, CT 06107-2667
(860) 470-6630
(862) 298-0763
Mailing address
1245 FARMINGTON AVE # 226, WEST HARTFORD, CT 06107-2667
(860) 470-6630
(862) 298-0763
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/09/2019
Last updated
12/04/2019
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