Organization
BOND STREET PARTNERS, LLC
Active
Other names
Medical Hypnosis Center of Sandy Hook LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MATTHEW LUJANAC APRN (MEMBER)
(203) 257-3130
Entity
Organization
Contact information
Practice address
68 WALNUT TREE HILL RD, SANDY HOOK, CT 06482-1073
(203) 257-3130
Mailing address
68 WALNUT TREE HILL RD, SANDY HOOK, CT 06482-1073
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
002370
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008062900
—
CT
05
—
500001276
—
CT
Enumeration date
09/23/2015
Last updated
07/27/2016
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