ANDREW PT GREGORY DC

CONNECTICUT BACK CENTER LLC

Dr ANDREW PT GREGORY DC is a male medical professional, specializing in Nurse Practitioner. He graduated in 2016.

Contact

CONNECTICUT BACK CENTER LLC

460 HARTFORD TPKE
VERNON
CT
060664845

Tel: 8608726229

ANDREW PT GREGORY DC Information

Npi 1114961703
Pac Id 3577455971
Professional Enrollment Id I20161003000142
Last Name GREGORY
First Name ANDREW
Middle Name PT
Suffix
Gender M
Credential DC
Medical School Name OTHER
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CONNECTICUT BACK CENTER LLC
Group Practice Pac Id 4486687340
Number Of Group Practice Members 2
Line 1 Street Address 460 HARTFORD TPKE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City VERNON
State CT
Zip Code 060664845
Phone Number 8608726229
Hospital Affiliation Ccn 1 070012
Hospital Affiliation Lbn 1 ROCKVILLE GENERAL HOSPITAL
Hospital Affiliation Ccn 2 070027
Hospital Affiliation Lbn 2 MANCHESTER MEMORIAL HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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