Organization · Type 2 NPI
Kusher Functional Medicine Center PC
Clinic/Center · Glastonbury, CT
NPI number
1083229165
Active
Practice location
76 Eastern Blvd Ste 103
Glastonbury, CT 06033-4382
Fax (888) 519-2097
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
Other clinic/center providers in Glastonbury
About NPI 1083229165
Kusher Functional Medicine Center PC's National Provider Identifier is 1083229165, issued on Sep 15, 2020. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Glastonbury, CT. The record was last updated on Sep 15, 2020.