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Contact Information

PHYSICIAN SERVICES OF NORTHEAST CONNECTICUT, LLC
168 ROUTE 171
SOUTH WOODSTOCK, CT06267
 Phone: 860-928-9270
 Fax: 860-928-1397
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PHYSICIAN SERVICES OF NORTHEAST CONNECTICUT LLC · (Female)

NPI Number 1790925105
Status Active
Credentials
Entity Individual
Enumeration date 02/25/2009
Last updated 02/25/2009 - About 17 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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