Organization · Type 2 NPI
Staywell Healthcare, Inc
General Practice Physician · Waterbury, CT
NPI number
1669629911
Active
Practice location
74 Central Ave
Waterbury, CT 06702-1207
Fax (203) 596-9038
Mailing address
80 Phoenix Ave Ste 201
Waterbury, CT 06702-1418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Waterbury
About NPI 1669629911
Staywell Healthcare, Inc's National Provider Identifier is 1669629911, issued on Aug 19, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Waterbury, CT. The record was last updated on Aug 19, 2008.