Oliver Taeb Llc | |
1 Torrington Office Plz 301 Torrington CT 06790-3854 | |
(860) 618-5910 | |
(831) 618-5917 |
Full Name | Oliver Taeb Llc |
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Speciality | Clinic/center |
Location | 1 Torrington Office Plz, Torrington, Connecticut |
Authorized Official Name and Position | Ali Oliver Taeb (CEO) |
Authorized Official Contact | 8606185910 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Oliver Taeb Llc 1 Torrington Office Plz 301 Torrington CT 06790-3854 Ph: (860) 618-5910 | Oliver Taeb Llc 1 Torrington Office Plz 301 Torrington CT 06790-3854 Ph: (860) 618-5910 |
NPI Number | 1114321239 |
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Provider Enumeration Date | 10/17/2014 |
Last Update Date | 10/17/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114321239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 1620 (Connecticut) | Primary |
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