WAIRE LLC
Ambulatory Health at West Rd, Ellington, CT

License number
Connecticut 043112
Category
Psychiatric
Type
Psychiatry
License number
Connecticut 043112
Category
Psychiatric
Type
Addiction Psychiatry
License number
Connecticut 043112
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. ERUM SHAHAB MD
Title: OWNER
Phone: (860) 871-5402
Address
Address
105 West Rd WEST, Ellington, CT 06029
National Provider ID: 1871744243
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about WAIRE LLC at bizstanding.com

WAIRE LLC

105 W Rd, Ellington, CT 06029

Industry:
Health/Allied Services
Registration:
Jul 14, 2008
State ID:
0944133
Business type:
Domestic Limited Liability Company
Psychiatrys:
Erum Shahab (Member, Medical Doctor, Owner, Principal, Psychiatry), 105 W Rd, Ellington, CT 06029 (Mailing)
80 Pinnacle Rd, Ellington, CT 06029 (Physical),Jay Benson (Internal Medicine),Jeannie M. Dilworth (Nurse Practitioner),...
Agent:
Muhammud Riaz Khan,80 Pinnacle Rd, Ellington, CT 06029 (Mailing)

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