Organization
CDMI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REED CYPRIANO CERT. COMPR. THEART. (OPERATIONS DIRECTOR)
(860) 415-4532
Entity
Organization
Contact information
Practice address
14 MASONS ISLAND RD, SUITE 14C - BOX 15, MYSTIC, CT 06355-2958
(860) 415-4534
(888) 476-0283
Mailing address
14 MASONS ISLAND RD, SUITE 14C - BOX 15, MYSTIC, CT 06355-2958
(860) 415-4534
(888) 476-0283
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
APPLICATION IN PROCE
CT
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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