JUAN FICA, MD, LLC
Osteopathic Medicine in Waterbury, CT

License number
Connecticut 040407
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Connecticut 020699
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Connecticut 020699
Category
Osteopathic Medicine
Type
Endocrinology, Diabetes & Metabolism
Owner
Name: DR. JUAN FICA M.D.
Title: PRESIDENT
Phone: (203) 753-9313
Address
Address
1389 W Main St Tower 2 SUITE 320, Waterbury, CT 06708
National Provider ID: 1831166305
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about JUAN FICA, MD, LLC at bizstanding.com

JUAN FICA, MD, LLC

1389 W Main St, Waterbury, CT 06708

Registration:
May 26, 1999
State ID:
0622019
Business type:
Domestic Limited Liability Company
MEMBER:
Juan Fica Md (MEMBER), 1389 W Main St, Waterbury, CT 06708 (Mailing)
159 Northridge Dr, Middlebury, CT 06762 (Physical)
Agent:
Juan Fica,171 Grandview Ave, Waterbury, CT 06708 (Mailing)
159 Northridge Dr, Middlebury, CT 06762 (Physical)

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