Organization
CT OPTIMAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SIRCH (MANAGER)
(203) 215-9179
Entity
Organization
Contact information
Practice address
100 PEARL ST, 12 FLOOR, HARTFORD, CT 06103
(860) 725-0025
Mailing address
124 W 60TH STREET, SUITE 35D, NEW YORK, NY 10023
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
52588
CT
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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