NEW ENGLAND FOOD ALLERGY TREATMENT CENTER
Osteopathic Medicine at Farmington Ave, Hartford, CT

License number
Connecticut 031434
Category
Osteopathic Medicine
Type
Allergy
Owner
Name: DR. JEFFREY MARTIN FACTOR MD
Title: MEDICAL DIRECTOR
Phone: (860) 916-0273
Address
Address
836 Farmington Ave SUITE 138, Hartford, CT 06119
National Provider ID: 1447597315
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NEW ENGLAND FOOD ALLERGY TREATMENT CENTER, LLC

836 Farmington Ave SUITE 138, West Hartford, CT 06119

Registration:
Apr 28, 2010
State ID:
1003157
Business type:
Domestic Limited Liability Company
Members:
Jeffrey M. Factor, M.d (Manager), 836 Farmington Ave, West Hartford, CT 06119 (Mailing)
21 New Castle Dr, Avon, CT 06001 (Physical),Md Louis Mendelson (Member), 836 Farmington Ave SUITE 138, West Hartford, CT 06119 (Mailing)
66 Kirkwood Rd, West Hartford, CT 06117 (Physical),Md Jason O. Lee (Member), 836 Farmington Ave SUITE 138, West Hartford, CT 06119 (Mailing)
16 Murphy Dr, Rocky Hill, CT 06067 (Physical)
Agent:
Scott B. Franklin,68 S Main St, West Hartford, CT 06107 (Mailing)
31 Middlefield Dr, West Hartford, CT 06107 (Physical)

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