ALEJANDRO E ISGUT MD LLC
Medical Practice at Main St, Newtown, CT

License number
Connecticut 016010
Category
Medical Practice
Type
Pediatrics
Owner
Name: ALEJANDRO E ISGUT MD
Title: OWNER
Phone: (203) 270-1077
Address
Address
153 S Main St, Newtown, CT 06470
National Provider ID: 1467851162
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ALEJANDRO E. ISGUT, M.D., LLC

Newtown, CT

Registration:
Aug 15, 2014
Addresses:
153 S Main St, Newtown, CT 06470 (Physical)
PO Box 752, Newtown, CT 06470 (Mailing)
State ID:
1152073
Business type:
Domestic Limited Liability Company
MEMBER:
Alejandro E. Isgut, M.d (MEMBER), 153 S Main St, Newtown, CT 06470 (Mailing)
71 Birch Hl Rd, Newtown, CT 06470 (Physical)
Agent:
Alejamdro E. Isgut, M.d,153 S Main St, Newtown, CT 06470 (Mailing)
71 Birch Hl Rd, Newtown, CT 06470 (Physical)

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