Organization
JOINT PAIN TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN DONOHUE NP (OWNER, NP DIRECTOR)
(203) 895-6572
Entity
Organization
Contact information
Practice address
417 HIGHLAND AVE, WATERBURY, CT 06708-3454
(203) 504-7518
Mailing address
417 HIGHLAND AVE, WATERBURY, CT 06708-3454
(203) 504-7518
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
01/18/2024
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