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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

NPI Number 1790925105
LBN Legal business name PHYSICIAN SERVICES OF NORTHEAST CONNECTICUT, LLC
Authorized official JULIE DROUIN - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/25/2009
Last updated 02/25/2009 - About 17 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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