| Cityblock Medical Practice Ct, P.c. | |
|
76 Center St Fl 3 Waterbury CT 06702-2129 | |
| (203) 518-4566 | |
| Not Available |
| Full Name | Cityblock Medical Practice Ct, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 76 Center St Fl 3, Waterbury, Connecticut |
| Authorized Official Name and Position | Jonathan Itskov (CREDENTIALING) |
| Authorized Official Contact | 3474011399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cityblock Medical Practice Ct, P.c. 55 Washington St Ste 552 Brooklyn NY 11201-1089 Ph: () - | Cityblock Medical Practice Ct, P.c. 76 Center St Fl 3 Waterbury CT 06702-2129 Ph: (203) 518-4566 |
| NPI Number | 1396218293 |
|---|---|
| Provider Enumeration Date | 01/03/2019 |
| Last Update Date | 02/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396218293 | NPI | - | NPPES |
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