CANTON GERIATRICS PLLC


Address: 461 Cherry Brook Road, Canton, CT 06019
Phone: 8455278854

CANTON GERIATRICS PLLC (NPI# 1912532953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912532953
Entity Type Organization
Organization Name CANTON GERIATRICS PLLC
Practice Address 461 Cherry Brook Road
Canton
CT 06019
Practice Telephone 8455278854
Mailing Telephone 8455278854
Enumeration Date 2020-03-10
Last Update Date 2020-03-10
Authorized Official Name DR. TINA MARIE GARDNER (PHYSICIAN/OWNER)
Authorized Official Telephone 8455278854
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Office Location

Street Address 461 CHERRY BROOK ROAD
City CANTON
State CT
Zip Code 06019

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1831311257 Guilford Chiropractic Wellness LLC Clinic/Center 728 Long Hill Rd, Guilford, CT 06437 2007-05-03
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Competitor

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City CANTON
Zip Code 06019

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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