| Dr Ovanessian Treatment Center Llc | |
|
20 Church Hill Rd Newtown CT 06470-1657 | |
| (203) 304-9599 | |
| Not Available |
| Full Name | Dr Ovanessian Treatment Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 20 Church Hill Rd, Newtown, Connecticut |
| Authorized Official Name and Position | Simon Ovanessain (PHYSICIAN/SURGEON) |
| Authorized Official Contact | 8455486073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ovanessian Treatment Center Llc 20 Church Hill Rd Newtown CT 06470-1657 Ph: (203) 304-9559 | Dr Ovanessian Treatment Center Llc 20 Church Hill Rd Newtown CT 06470-1657 Ph: (203) 304-9599 |
| NPI Number | 1164749057 |
|---|---|
| Provider Enumeration Date | 05/01/2010 |
| Last Update Date | 04/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164749057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 042079 (Connecticut) | Primary |
| 305R00000X | Preferred Provider Organization | 042079 (Connecticut) | Secondary |
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