Organization
CONNECTICUT HANDIVAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J PANICO MBA (VICE PRESIDENT)
(203) 562-1760
Entity
Organization
Contact information
Practice address
208 QUINNIPIAC AVE, NORTH HAVEN, CT 06473-3626
(203) 562-1760
Mailing address
208 QUINNIPIAC AVE, NORTH HAVEN, CT 06473-3626
(203) 562-1760
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
2601
CT
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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