| Tree Of Life Primary Care And Recovery Llc | |
|
129 Church St Ste 417 New Haven CT 06510-2052 | |
| (646) 785-7452 | |
| Not Available |
| Full Name | Tree Of Life Primary Care And Recovery Llc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 129 Church St Ste 417, New Haven, Connecticut |
| Authorized Official Name and Position | Ronica Mukerjee (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6467857452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tree Of Life Primary Care And Recovery Llc 129 Church St Ste 417 New Haven CT 06510-2052 Ph: (646) 785-7452 | Tree Of Life Primary Care And Recovery Llc 129 Church St Ste 417 New Haven CT 06510-2052 Ph: (646) 785-7452 |
| NPI Number | 1437659091 |
|---|---|
| Provider Enumeration Date | 02/20/2018 |
| Last Update Date | 02/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437659091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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