| NPI | 1629461116 |
|---|---|
| Doing Business As | PHYSICIANONE URGENT CARE- DERBY |
| Entity Type | Organization |
| Authorized Contact | JEANNIE M KENKARE Chief Medical Officer 860-657-8289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |