Organization
NEW HORIZON HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORA FRASER-MCPHERSON (OWNER)
(203) 433-8036
Entity
Organization
Contact information
Practice address
250 W MAIN ST, BRANFORD, CT 06405-4032
(203) 433-8036
Mailing address
250 W MAIN ST, BRANFORD, CT 06405-4032
(203) 433-8036
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3310
LICENSE
CT
Enumeration date
02/12/2020
Last updated
02/12/2020
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