Organization
ILERA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET OMOJOLA APRN (APRN)
(860) 940-9999
Entity
Organization
Contact information
Practice address
324 BREWSTER RD, BRISTOL, CT 06010-5216
(860) 940-9999
Mailing address
324 BREWSTER RD, BRISTOL, CT 06010-5216
(860) 940-9999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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