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Contact Information

ASSOCIATED SPECIALISTS OF SOUTHEASTERN CONNECTICUT, INC.
365 MONTAUK AVE
NEW LONDON, CT06320-4700
 Phone: 860-442-0711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Neuropsychologist

103G00000X
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Neonatal

363LN0000X 50 Nurse Practitioner
 

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Neurology

2084N0400X 13 Physician/Neurology
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Sleep Medicine

207QS1201X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ASSOCIATED SPECIALISTS OF SOUTHEASTERN CONNECTICUT INC · (Female)

NPI Number 1588844591
Status Active
Credentials
Entity Individual
Enumeration date 11/07/2007
Last updated 05/08/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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