| Infinite Well Llc | |
|
286 Beacon Rd Bethany CT 06524-3080 | |
| (203) 537-0699 | |
| Not Available |
| Full Name | Infinite Well Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 286 Beacon Rd, Bethany, Connecticut |
| Authorized Official Name and Position | Boaz Itshaky (OWNER) |
| Authorized Official Contact | 2035370699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinite Well Llc 286 Beacon Rd Bethany CT 06524-3080 Ph: (203) 537-0699 | Infinite Well Llc 286 Beacon Rd Bethany CT 06524-3080 Ph: (203) 537-0699 |
| NPI Number | 1356798573 |
|---|---|
| Provider Enumeration Date | 05/17/2016 |
| Last Update Date | 05/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356798573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 000258 (Connecticut) | Primary |
Parentechnique Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 932 Litchfield Tpke, Bethany, CT 06524 Phone: 203-390-0070 |