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Specialty details in registry · Collinsville, CT

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At a glance

85 River Rd, Collinsville, CT 06019-3245

NPPES record updated May 9, 2018. Public records can lag behind changes at a practice.

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Practice location

85 River Rd
Collinsville, CT 06019-3245
Professional details: NPI, taxonomy & registry record
NPI1245729714
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
103TP2701X
Enumeration date
May 9, 2018
Record updated
May 9, 2018
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

103TP2701X · Primary

License reported: 002940 CT

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

85 River Rd
Collinsville, CT 06019-3245
Phone
(860) 431-0239
Mailing address
PO BOX 111

COLLINSVILLE, CT 060220111
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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