Organization
NORTHEAST NATURAL MEDICINE, LLC
Active
Other names
Dr. Shawn Carney
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN M. CARNEY N.D. (OWNER)
(800) 723-2962
Entity
Organization
Contact information
Practice address
19 CHURCH HILL RD, SUITE 1, NEWTOWN, CT 06470-1651
(800) 723-2962
Mailing address
19 CHURCH HILL RD, SUITE 1, NEWTOWN, CT 06470-1651
(800) 723-2962
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
000425
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053646323
NPI
CT
Enumeration date
09/06/2014
Last updated
09/06/2014
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