Organization
JS THERAPEUTIC SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ANTHONY STANCAVAGE JR. PA (OWNER)
(860) 378-7844
Entity
Organization
Contact information
Practice address
133 MOUNTAIN RD STE 9, SUFFIELD, CT 06078-2084
(860) 281-1101
Mailing address
897 AVERY ST, SOUTH WINDSOR, CT 06074-2306
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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