Organization
WATERSTONE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J ABBENANTE MD (OWNER)
(203) 245-0412
Entity
Organization
Contact information
Practice address
32 WALL ST STE C, MADISON, CT 06443-3100
(203) 826-1163
(203) 917-3537
Mailing address
PO BOX 10, GUILFORD, CT 06437-0010
(203) 826-1163
(203) 917-3537
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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