DPMDECKERPRCT LLC
Medical Practice at Hebron Ave, Glastonbury, CT

License number
Connecticut 000853
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: JENNIFER DECKER DPM
Title: OWNER
Phone: (860) 657-3668
Address
Address 2
300 Hebron Ave SUITE 211, Glastonbury, CT 06033
196 Parkway S SUITE 304, Waterford, CT 06385
National Provider ID: 1407146897
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DPMDECKERPRCT LLC at bizstanding.com

DPMDECKERPRCT LLC

Glastonbury, CT  -  Bristol, CT

Industry:
Podiatrist's Office
Registration:
Apr 7, 2011
Addresses:
300 Hebron Ave SUITE 211, Glastonbury, CT 06033 (Physical)
225 N Main St, Bristol, CT 06010
State ID:
1034485
Business type:
Domestic Limited Liability Company
Owner, Podiatrist, Principals:
Dpm Jennifer R. Decker (Member), 300 Hebron Ave SUITE 211, Glastonbury, CT 06033 (Mailing)
272 Sunnydale Ave, Bristol, CT 06010 (Physical),Jennifer R. Decker (Owner, Podiatrist, Principal)
Agent:
Dpm Jennifer Rose Decker,300 Hebron Ave SUITE 211, Glastonbury, CT 06033 (Mailing)
272 Sunnydale Ave, Bristol, CT 06010 (Physical)

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