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Contact Information

567 VAUXHALL, LLC
567 VAUXHALL STREET EXT STE 126
WATERFORD, CT06385-4332
 Phone: 860-444-0503
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for 567 VAUXHALL, LLC

NPI # 1598198038
LBN Legal business name 567 VAUXHALL, LLC
Authorized official MARTIN MALONEY - (PSYCHIATRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/20/2013
Last updated 08/20/2013 - About 13 years ago
Identifiers
CT License # CT 000159
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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