Organization
COMPREHENSIVE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LIZABETH AQUAVIA MD (PHYSICIAN/OWNER)
(203) 679-7705
Entity
Organization
Contact information
Practice address
385 MAIN ST S, SUITE 106, SOUTHBURY, CT 06488-4240
(203) 262-4600
Mailing address
385 MAIN ST S, SUITE 106, SOUTHBURY, CT 06488-4240
(203) 262-4600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO3450
MEDICARE GROUP NUMBER
CT
Enumeration date
10/06/2006
Last updated
07/28/2008
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