NPI 1134450828

Healing Edge Medical Associates LLC

Organisation Preventive Medicine/Occupational Environmental Medicine Physician East Granby, CT

Practice location

Address: 29 Kripes Rd Suite M, East Granby, CT 06026-9669
Phone: (860) 413-3883
Fax: (860) 413-3884
Mailing address: PO Box 152, Simsbury, CT 06070-0152

Authorised official

Name: Ronald Dale Agnes
Title: President/Physician
Phone: (860) 978-8825

Registered specialties (2)

Preventive Medicine/Occupational Environmental Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0500X Licence 036511 (CT)

Other Preventive Medicine providers in Connecticut →

Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 036511 (CT)

Other Emergency Medicine providers in Connecticut →

Registry record

NPI: 1134450828
Entity type: Organization
NPI issued: 20 Jan 2010
Record last updated: 19 Jun 2013

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.