| Marc Bonaguide Llc | |
|
50 Albany Tpke Canton CT 06019-2516 | |
| (860) 951-1240 | |
| Not Available |
| Full Name | Marc Bonaguide Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 50 Albany Tpke, Canton, Connecticut |
| Authorized Official Name and Position | Marc Bonaguide (MANAGER) |
| Authorized Official Contact | 8609511240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Bonaguide Llc 10 Sunrise Ter Weatogue CT 06089-9755 Ph: () - | Marc Bonaguide Llc 50 Albany Tpke Canton CT 06019-2516 Ph: (860) 951-1240 |
| NPI Number | 1487176145 |
|---|---|
| Provider Enumeration Date | 07/13/2017 |
| Last Update Date | 07/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487176145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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