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91 West Street Danbury CT 06810-6529 | |
| (203) 748-2936 | |
| (203) 797-8568 |
| Full Name | |
|---|---|
| Speciality | Local Education Agency (lea) |
| Location | 91 West Street, Danbury, Connecticut |
| Authorized Official Name and Position | Joseph Arconti (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2037482936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
91 West Street Danbury CT 06810-6529 Ph: (203) 748-2936 | 91 West Street Danbury CT 06810-6529 Ph: (203) 748-2936 |
| NPI Number | 1104959261 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 09/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104959261 | NPI | - | NPPES |
| 004261749 | Medicaid | CT |
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