SOUTHINGTON URGENT CARE
Osteopathic Medicine at West St, Southington, CT

License number
Connecticut 036278
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: KEVIN P GREENE MD
Title: PRESIDENT
Phone: (860) 378-2891
Address
Address 2
1131 West St WEST STE 1, Southington, CT 06489
710 Main St BLDG 4, Plantsville, CT 06479
National Provider ID: 1205959301
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SOUTHINGTON URGENT CARE at bizstanding.com

SOUTHINGTON URGENT CARE, PC

710 Main St, Plantsville, CT 06479

Registration:
Apr 5, 2007
State ID:
0895471
Business type:
Stock
PRESIDENTs:
Janice R. Greene (SECRETARY), 710 Main St, Plantsville, CT 06479 (Mailing)
90 Lakewood Cir, Bristol, CT 06010 (Physical),John M. Greene  Vice (PRESIDENT), 710 Main St, Bristol, CT 06010 (Mailing)
37 Jericho Dr, Old Lyme, CT 06371 (Physical)
Agent:
Md Kevin P. Greene,710 Main St, Plantsville, CT 06479 (Mailing)
351 Witches Rock Rd, Bristol, CT 06010 (Physical)

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