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Ian R Cameron Md Pc
Adult Mental Health Clinic/Center in Glastonbury, Connecticut
NPI 1558699256

Ian R Cameron Md Pc is an Adult Mental Health Clinic/Center based in Glastonbury, CT and is specialized in Adult Mental Health. Ian R Cameron Md Pc practices in Glastonbury, CT. The NPI Number for Ian R Cameron Md Pc is 1558699256 and holds a License No. 011816 (Connecticut).

The current practice location address for Ian R Cameron Md Pc is 2174 Main St, Glastonbury, CT and can be reached out via phone at 860-657-3602 and via fax at 860-657-4421.

Location: 2174 Main St, Glastonbury, CT, 06033-2206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558699256
Provider Name
Ian R Cameron Md Pc
Credential
Provider Entity Type
Organization
Address
2174 Main St, Glastonbury, CT, 06033-2206
Phone Number
860-657-3602
Fax Number
860-657-4421
Provider Enumeration Date
11/18/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1568404242 01 CT INDIVIDUAL PROVIDER NPI
institution
Provider Business Practice Location Address Details
Address
2174 Main St
City
Glastonbury
State
Connecticut
Zip
06033-2206
Phone Number
860-657-3602
Fax Number
860-657-4421
person
Provider Business Mailing Address Details
Address
2174 Main St
City
Glastonbury
State
Connecticut
Zip
06033-2206
Phone Number
860-657-3602
Fax Number
860-657-4421
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
011816 (Connecticut)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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