NPI 1396244398

Connecticut Branches

Organisation Private Vehicle Woodbridge, CT

Practice location

Address: 30 Hazel Ter STE 2, Woodbridge, CT 06525-2240
Phone: (203) 987-3968
Fax: (203) 987-6313
Mailing address: PO Box 3824, Woodbridge, CT 06525-0824

Authorised official

Name: Jodie Simpson
Title: Owner
Phone: (203) 987-3968

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1396244398
Entity type: Organization
NPI issued: 5 Feb 2018
Record last updated: 5 Feb 2018

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.