Organization · Type 2 NPI
Suhradam Medical Practice, LLC
Multi-Specialty Clinic/Center · Berlin, CT
NPI number
1932560281
Active
Practice location
50 Toll Gate Rd
Berlin, CT 06037-3606
Fax (860) 740-7103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | 049253 (CT) |
Multi-Specialty Clinic/Center: Definition to come...
Another provider at this address
About NPI 1932560281
Suhradam Medical Practice, LLC's National Provider Identifier is 1932560281, issued on Mar 15, 2016. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Berlin, CT. The record was last updated on Mar 15, 2016.