| Oliver Taeb LLC | |
|
1 Torrington Office Plz 301 Torrington CT 06790-3854 | |
| (860) 618-5910 | |
| (831) 618-5917 |
| Full Name | Oliver Taeb LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 1 Torrington Office Plz, Torrington, Connecticut |
| Authorized Official Name and Position | Ali Oliver Taeb (CEO) |
| Authorized Official Contact | 8606185910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oliver Taeb LLC 1 Torrington Office Plz 301 Torrington CT 06790-3854 Ph: (860) 618-5910 | Oliver Taeb LLC 1 Torrington Office Plz 301 Torrington CT 06790-3854 Ph: (860) 618-5910 |
| NPI Number | 1114321239 |
|---|---|
| Provider Enumeration Date | 10/17/2014 |
| Last Update Date | 10/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114321239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1620 (Connecticut) | Primary |
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