Organization
NORTHEAST NATURAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN MORGAN CARNEY N.D. (OWNER PRESIDENT MANAGER)
(800) 723-2962
Entity
Organization
Contact information
Practice address
33 MAIN ST, SUITE 15, NEWTOWN, CT 06470-2129
(800) 723-2962
(800) 957-5421
Mailing address
107 EDGELAKE DR, SANDY HOOK, CT 06482-1140
(203) 947-2412
(800) 957-5421
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
425
CT
225700000X
Massage Therapist
004130
CT
Other
Enumeration date
05/10/2010
Last updated
05/11/2010
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