Organization
EQUAL HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKSON P MAILLE MD (MEDICAL DIRECTOR)
(203) 679-0055
Entity
Organization
Contact information
Practice address
185 CENTER STREET, SUITE 2A, WALLINGFORD, CT 06492
(203) 679-0055
(203) 679-0060
Mailing address
185 CENTER STREET, SUITE 2A, WALLINGFORD, CT 06492
(203) 679-0055
(203) 679-0060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036274
CT
Other
Enumeration date
02/21/2007
Last updated
08/22/2020
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