Organization
LAVENDER GROVE LONG TERM CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANOJ WADHWANI (OWNER)
(203) 901-2493
Entity
Organization
Contact information
Practice address
5 RESEARCH DR, SHELTON, CT 06484-6232
(203) 901-2493
Mailing address
5 RESEARCH DR, SHELTON, CT 06484-6232
(203) 901-2493
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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