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1376692111
PSYCHIATRIC MEDICINE CENTER, PC
NEW LONDON, CT
NPI
1376692111
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Entity Type
Organization
Authorized Contact
PAMELA GRAVES
Credentialer
860-442-6364
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2007-01-10
Last Update Date
2020-08-22
Business Address
PSYCHIATRIC MEDICINE CENTER, PC
501 OCEAN AVE
NEW LONDON, CT 06320-4521
Phone number: 860-442-6364
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Mailing Address
PSYCHIATRIC MEDICINE CENTER, PC
501 OCEAN AVE
NEW LONDON, CT 06320-4521
Phone number: 860-442-6364
Copy
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