| NPI | 1669603767 |
|---|---|
| Doing Business As | PHYSICIAN SERVICES OF NORTHEAST CT, LLC |
| Entity Type | Organization |
| Authorized Contact | JULIE M DROUIN CFO 860-928-6541 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2010-12-09 |