Organization
VETERAN'S AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PRIM K WABUNOHA (LPN)
(203) 562-4510
Entity
Organization
Contact information
Practice address
950 CAMPBELL AVE, VETERANS AFFAIRS, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
125 OLIVE ST, NEW HAVEN, CT 06511-4932
(203) 562-4510
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
285345
NY
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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