Entity Information

BOONE MD MS WILLIE BENTON

Active
UEI CAGE Website
EW51MGM4WPB5 3KAJ1

Addresses

Physical Address
561 WINDING BROOK FARM RD
WATERTOWN, CT 06795
UNITED STATES OF AMERICA
Mailing Address
561 WINDING BROOK FARM RD
WATERTOWN, CT 06795
UNITED STATES OF AMERICA

Business Type

BLACK AMERICAN OWNED
FOR PROFIT ORGANIZATION
MINORITY-OWNED BUSINESS
SELF CERTIFIED SMALL DISADVANTAGED BUSINESS
VETERAN-OWNED BUSINESS

NAICS Codes

Code
Description
OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) (PRIMARY NAICS)

Contacts

Type
Person
PRIMARY
WILLIE B BOONE (DR.)
ELECTRONIC
WILLIE B BOONE (DR.)
Notification