Organization
RUSHFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTY JACKSON (CLINICAL MANAGER)
(203) 630-5245
Entity
Organization
Contact information
Practice address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 630-5278
Mailing address
145 SPRUCE BANK RD, HAMDEN, CT 06518-2233
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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