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Dva Healthcare Of New London Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New London, Connecticut
NPI 1679549273

Dva Healthcare Of New London Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, CT and is specialized in End-Stage Renal Disease (ESRD) Treatment. Dva Healthcare Of New London Llc practices in New London, CT. The NPI Number for Dva Healthcare Of New London Llc is 1679549273 and holds a License No. 0255 (Connecticut).

The current practice location address for Dva Healthcare Of New London Llc is 5 Shaws Cv, New London, CT and can be reached out via phone at 860-701-1357 and via fax at 860-444-0802.

Location: 5 Shaws Cv, New London, CT, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679549273
Provider Name
Dva Healthcare Of New London Llc
Credential
Provider Entity Type
Organization
Address
5 Shaws Cv, New London, CT, 37027-7569
Phone Number
860-701-1357
Fax Number
860-444-0802
Provider Enumeration Date
02/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004202769 05 CT
institution
Provider Business Practice Location Address Details
Address
5 Shaws Cv
City
New London
State
Connecticut
Zip
06320-4974
Phone Number
860-701-1357
Fax Number
860-444-0802
person
Provider Business Mailing Address Details
Address
5 Shaws Cv
City
New London
State
Connecticut
Zip
06320-4974
Phone Number
860-701-1357
Fax Number
860-444-0802
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
0255 (Connecticut)
Definition
Definition to come...
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