Organization
CENTER FOR DIABETES EXCELLENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN HICKEY AHERN MSN (APRN)
(203) 261-4277
Entity
Organization
Contact information
Practice address
500 PURDY HILL RD STE 2, MONROE, CT 06468-1661
(203) 261-4277
Mailing address
530 SCENIC RD, ORANGE, CT 06477-2127
(203) 909-0016
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
1425
CT
261Q00000X
Clinic/Center
1425
CT
Other
Enumeration date
03/01/2018
Last updated
03/08/2018
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