Organization
CONNECTICUT ADDICTION MEDICINE, LLC
Active
Other names
Connecticut Addiction Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY INGOLD OFFICE MANAGER (OFFICE MANAGER)
(860) 969-1101
Entity
Organization
Contact information
Practice address
546 CROMWELL AVE, SUITE 101, ROCKY HILL, CT 06067-1800
(860) 757-3874
(860) 757-3875
Mailing address
546 CROMWELL AVE, SUITE 101, ROCKY HILL, CT 06067-1800
(860) 757-3874
(860) 757-3875
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
CLPOL0509
CT
363LA2200X
Adult Health Nurse Practitioner
—
CT
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
09/13/2013
Last updated
04/19/2017
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