NPI 1083229165

Kusher Functional Medicine Center PC

Organisation Clinic/Center Glastonbury, CT

Practice location

Address: 76 Eastern Blvd STE 103, Glastonbury, CT 06033-4382
Phone: (800) 735-2281
Fax: (888) 519-2097

Authorised official

Name: Eric Michael Kusher
Title: President
Phone: (954) 214-0815

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

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Registry record

NPI: 1083229165
Entity type: Organization
NPI issued: 15 Sep 2020
Record last updated: 15 Sep 2020

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.