Most Relevant Information
Provider Data
NPI Number: | 1003372103 |
Provider Name: | ASHLEY JAMES |
Entity Type: | Individual |
Taxonomy Code: | 2255A2300X |
Specialty: | Specialist/Technologist |
License Number: | 001204 |
Most Important Dates
Enumeration Date: | 02/13/2019 |
Last Updated: | 02/13/2019 |
Provider Practice Location
11 INDUSTRIAL PARK RD
NIANTIC
CT
063570635
Practice Location Phone/Fax
Phone: | 8603919397 |
Fax: |
Provider Mailing Location
51 CHURCH ST APT 4
MYSTIC
CT
063552745
Provider Mailing Phone/Fax
Phone: | 8603919397 |
Fax: |