Organization
LIVING SPRING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEDDEUS IHEANACHO M.D. (DIRECTOR)
(203) 874-0593
Entity
Organization
Contact information
Practice address
57 PLAINS RD, MILFORD, CT 06461-2573
(203) 874-0593
Mailing address
57 PLAINS RD, MILFORD, CT 06461-2573
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
49777
CT
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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