Provider Demographics
NPI:1356115919
Name:A GENTLE TOUCH ELECTROLYSIS LLC
Entity type:Organization
Organization Name:A GENTLE TOUCH ELECTROLYSIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:VAUGHAN-PIGNATELLA
Authorized Official - Suffix:
Authorized Official - Credentials:CPE
Authorized Official - Phone:860-543-0618
Mailing Address - Street 1:17 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:CT
Mailing Address - Zip Code:06037-3601
Mailing Address - Country:US
Mailing Address - Phone:860-543-0618
Mailing Address - Fax:
Practice Address - Street 1:369 NEW BRITAIN RD STE C
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:CT
Practice Address - Zip Code:06037-1351
Practice Address - Country:US
Practice Address - Phone:860-543-0618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service