Organization
CONNECTICUT KIDNEY CENTER, LLC
Active
Parent organization
CONNECTICUT KIDNEY CENTER, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONNECTICUT KIDNEY CENTER, LLC
Authorized official
MAUREEN ONOFRIO (BILLING MANAGER)
(203) 799-1252
Entity
Organization
Contact information
Practice address
240 INDIAN RIVER RD, SUITE A5, ORANGE, CT 06477-3649
(203) 799-1252
(203) 799-1252
Mailing address
240 INDIAN RIVER RD, SUITE A5, ORANGE, CT 06477-3649
(203) 799-1252
(203) 799-3252
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008002231
—
CT
Enumeration date
09/16/2008
Last updated
01/05/2011
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