| NPI | 1275801771 |
|---|---|
| Doing Business As | PHYSICIAN SERVICES OF NORTHEAST CT, LLC |
| Entity Type | Organization |
| Authorized Contact | JULIE DROUIN CFO 860-928-6541 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-30 |