| Kusher Functional Medicine Center Pc | |
|
76 Eastern Blvd Ste 103 Glastonbury CT 06033-4382 | |
| (800) 735-2281 | |
| (888) 519-2097 |
| Full Name | Kusher Functional Medicine Center Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 76 Eastern Blvd Ste 103, Glastonbury, Connecticut |
| Authorized Official Name and Position | Eric Michael Kusher (PRESIDENT) |
| Authorized Official Contact | 9542140815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kusher Functional Medicine Center Pc 76 Eastern Blvd Ste 103 Glastonbury CT 06033-4382 Ph: (800) 735-2281 | Kusher Functional Medicine Center Pc 76 Eastern Blvd Ste 103 Glastonbury CT 06033-4382 Ph: (800) 735-2281 |
| NPI Number | 1083229165 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 09/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083229165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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