4 Hazel Avenue Operations LLC

Practice location

Address

4 Hazel Ave, Naugatuck, CT 06770-4706

Phone

(203) 723-1456

Fax

(203) 723-0242

Mailing address

101 E State St, Kennett Square, PA 19348-3109

Authorised official

Name

Michael T Berg

Title

Corp Officer

Phone

(505) 468-4742

Registered specialties

Registry record

NPI

1427239946

Entity type

Organization

NPI issued

27 Nov 2007

Record last updated

6 Nov 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.