NPI 1629061593

Masonicare Health Center

Organisation Chronic Disease Hospital Wallingford, CT

Practice location

Address: 22 Masonic Ave, Wallingford, CT 06492-3048
Phone: (203) 679-5900

Authorised official

Name: Jon-Paul Venoit
Title: President & Ceo
Phone: (203) 679-5000

Registered specialties (2)

Chronic Disease Hospital Primary

Hospitals Taxonomy 281P00000X Licence 11CD (CT)

Other Chronic Disease Hospital providers in Connecticut →

Community Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QC1500X Licence 0075 (CT)

Other Clinic/Center providers in Connecticut →

Registry record

NPI: 1629061593
Entity type: Organization
NPI issued: 25 Aug 2005
Record last updated: 5 Nov 2019

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.