Individual
KEVIN BOSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 MEADOW WOOD RD, BRANFORD, CT 06405-6412
(203) 315-2968
Mailing address
11 MEADOW WOOD RD, BRANFORD, CT 06405-6412
(203) 315-2968
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
003124
CT
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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