Organization
URGENT CARE OF WATERBURY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNIE M KENKARE DO (CMO)
(203) 885-0808
Entity
Organization
Contact information
Practice address
31 OLD ROUTE 7, BROOKFIELD, CT 06804-1711
(203) 885-0808
(203) 885-0813
Mailing address
31 OLD ROUTE 7, BROOKFIELD, CT 06804-1711
(203) 885-0808
(203) 885-0813
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008049195
—
CT
05
—
008049245
—
CT
05
—
008049246
—
CT
05
—
008056635
—
CT
05
—
008058210
—
CT
Enumeration date
09/30/2015
Last updated
09/30/2015
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