| NPI | 1174809966 |
|---|---|
| Other Name | PHYSICIAN SERVICES OF NORTHEAST CT, LLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE L VALLEE VP Physician Services 860-928-6541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 176B00000X Midwife |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |