Organization
SKY HEALTH GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON FENSTERSZAUB DO (PRESIDENT)
(917) 747-4993
Entity
Organization
Contact information
Practice address
64 BLUE RIDGE DRIVE, WATERBURY, CT 06704
(917) 747-4993
Mailing address
64 BLUE RIDGE DRIVE, WATERBURY, CT 06704
(917) 747-4993
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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