| Leigh Nathan, Md Pllc | |
|
85b Wall Street Madison CT 06443-3121 | |
| (860) 222-0828 | |
| Not Available |
| Full Name | Leigh Nathan, Md Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 85b Wall Street, Madison, Connecticut |
| Authorized Official Name and Position | Leigh Nathan (OWNER) |
| Authorized Official Contact | 8602220828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leigh Nathan, Md Pllc 14 Bower Rd Madison CT 06443-2526 Ph: (860) 222-0828 | Leigh Nathan, Md Pllc 85b Wall Street Madison CT 06443-3121 Ph: (860) 222-0828 |
| NPI Number | 1013626761 |
|---|---|
| Provider Enumeration Date | 11/22/2022 |
| Last Update Date | 11/22/2022 |
| Certification Date | 11/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013626761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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