Organization
CONNECTICUT LIFESTYLE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE OROURKE (OWNER, NURSE)
(860) 788-6573
Entity
Organization
Contact information
Practice address
955 S MAIN ST, MIDDLETOWN, CT 06457-5153
(516) 993-2847
Mailing address
955 S MAIN ST # B201, MIDDLETOWN, CT 06457-5153
(860) 788-6573
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
08/21/2024
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