| Mgadams, Llc | |
|
945 Main St Suite 211 Manchester CT 06040-6064 | |
| (860) 869-2774 | |
| Not Available |
| Full Name | Mgadams, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 945 Main St, Manchester, Connecticut |
| Authorized Official Name and Position | Martha Gaudreau Adams (MANAGING MEMBER) |
| Authorized Official Contact | 8608692774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mgadams, Llc Po Box 1104 Glastonbury CT 06033-6104 Ph: (860) 869-2774 | Mgadams, Llc 945 Main St Suite 211 Manchester CT 06040-6064 Ph: (860) 869-2774 |
| NPI Number | 1568890069 |
|---|---|
| Provider Enumeration Date | 10/17/2013 |
| Last Update Date | 10/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568890069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2375 (Connecticut) | Primary |
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