| Shore Wellness Ct | |
|
85b Wall St Madison CT 06443-3121 | |
| (203) 896-0101 | |
| Not Available |
| Full Name | Shore Wellness Ct |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 85b Wall St, Madison, Connecticut |
| Authorized Official Name and Position | Erica Baloga (CLINICIAN) |
| Authorized Official Contact | 2038960101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shore Wellness Ct 210 Pine St Apt 315 Manchester CT 06040-8418 Ph: (860) 759-8346 | Shore Wellness Ct 85b Wall St Madison CT 06443-3121 Ph: (203) 896-0101 |
| NPI Number | 1316464191 |
|---|---|
| Provider Enumeration Date | 08/23/2017 |
| Last Update Date | 08/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316464191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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