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Organization

NERI HOLZER, MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NERI HOLZER M.D. (PRESIDENT)
(860) 928-7793
Entity
Organization

Contact information

Practice address
19 QUINEBAUG AVE, PUTNAM, CT 06260-1943
(860) 928-7793
(860) 928-9760
Mailing address
PO BOX 514, PUTNAM, CT 06260-0514
(860) 928-7793
(860) 928-9760

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
021027
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004095221
CT
Enumeration date
03/16/2010
Last updated
03/16/2010
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