| NPI | 1891962221 |
|---|---|
| Doing Business As | PHYSICIAN SERVICES OF NORTHEAST CONNECTICUT, LLC |
| Entity Type | Organization |
| Authorized Contact | JULIE DROUIN CFO 860-928-6541 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207R00000X Internal Medicine | |
| 208600000X Surgery | |
| 207N00000X Dermatology | |
| 176B00000X Midwife | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2011-09-16 |