NPI 1063724193

Doc Nutrition Clinic

Organisation Health Service Clinic/Center Wallingford, CT

Practice location

Address: 185 Center St Suite 1b, Wallingford, CT 06492-4100
Phone: (203) 269-2852
Fax: (203) 269-9852

Authorised official

Name: Lisa Zola
Title: Ceo/Owner
Phone: (203) 269-2852

Registered specialties

Health Service Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QH0100X

Other Clinic/Center providers in Connecticut →

Registry record

NPI: 1063724193
Entity type: Organization
NPI issued: 6 Jul 2010
Record last updated: 10 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.