Organization
CONNECTICUT GO GREEN MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELORETTA T ECKENRODE APRN (OWNER)
(203) 874-7001
Entity
Organization
Contact information
Practice address
31 CHERRY ST, UNIT 1, MILFORD, CT 06460-3465
(203) 874-7001
(203) 874-7002
Mailing address
31 CHERRY ST UNIT 1, MILFORD, CT 06460-3465
(203) 874-7001
(203) 874-7002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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