IAN R CAMERON MD PC
Ambulatory Health at Main St, Glastonbury, CT

License number
Connecticut 011816
Category
Ambulatory Health
Type
Adult Mental Health
Owner
Name: DR. IAN RICHARD CAMERON MD
Title: PRESIDENT
Phone: (860) 657-3602
Address
Address
2174 Main St, Glastonbury, CT 06033
National Provider ID: 1558699256
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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IAN R. CAMERON, M.D., PC

Glastonbury, CT

Registration:
Jan 16, 1979
Addresses:
200 Oak St, Glastonbury, CT 06033 (Physical)
PO Box 1256, Glastonbury, CT 06033 (Mailing)
State ID:
0087328
Business type:
Stock
SECRETARYs:
Ian R. Cameron M.d (PRESIDENT), 200 Oak St, Glastonbury, CT 06033 (Mailing)
43 Buttonwood Rd, Hebron, CT 06248 (Physical),Dorothy Cusson Cameron (SECRETARY), 200 Oak St, Glastonbury, CT 06033 (Mailing)
43 Buttonwood Rd, Hebron, CT 06248 (Physical)
Agent:
Ian R. Cameron,659 Tower Ave, Hartford, CT 06112 (Mailing)
128 Stanley Dr, Glastonbury, CT 06033 (Physical)

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