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Suhradam Medical Practice, Llc
Multi-Specialty Clinic/Center in Berlin, Connecticut
NPI 1932560281

Suhradam Medical Practice, Llc is a Multi-Specialty Clinic/Center based in Berlin, CT and is specialized in Multi-Specialty. Suhradam Medical Practice, Llc practices in Berlin, CT. The NPI Number for Suhradam Medical Practice, Llc is 1932560281 and holds a License No. 049253 (Connecticut).

The current practice location address for Suhradam Medical Practice, Llc is 50 Toll Gate Rd, Berlin, CT and can be reached out via phone at 860-438-6004 and via fax at 860-740-7103.

Location: 50 Toll Gate Rd, Berlin, CT, 06037-3606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932560281
Provider Name
Suhradam Medical Practice, Llc
Credential
Provider Entity Type
Organization
Address
50 Toll Gate Rd, Berlin, CT, 06037-3606
Phone Number
860-438-6004
Fax Number
860-740-7103
Provider Enumeration Date
03/15/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1083879522 05 CT
institution
Provider Business Practice Location Address Details
Address
50 Toll Gate Rd
City
Berlin
State
Connecticut
Zip
06037-3606
Phone Number
860-438-6004
Fax Number
860-740-7103
person
Provider Business Mailing Address Details
Address
50 Toll Gate Rd
City
Berlin
State
Connecticut
Zip
06037-3606
Phone Number
860-438-6004
Fax Number
860-740-7103
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
049253 (Connecticut)
Definition
Definition to come...
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