Individual
MR. JOHN M ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
100 BROADWAY, NORTH HAVEN, CT 06473-2365
(203) 407-9307
(203) 234-0801
Mailing address
100 BROADWAY, NORTH HAVEN, CT 06473-2365
(203) 407-9307
(203) 234-0801
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
004097
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
004097
CT
Other
Enumeration date
08/21/2009
Last updated
02/17/2014
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