Organization
NEUROPSYCHIATRY MSO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANOJ WADHWANI (AUTHORIZED OFFICIAL)
(203) 260-7972
Entity
Organization
Contact information
Practice address
5 RESEARCH DR, SHELTON, CT 06484-6232
(203) 567-5264
Mailing address
5 RESEARCH DR, SHELTON, CT 06484-6232
(203) 567-5264
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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