| Physician Services Of Northeast Connecticut, Llc | |
|
63 Canterbury Rd Brooklyn CT 06234-1901 | |
| (860) 779-5940 | |
| (860) 779-5499 |
| Full Name | Physician Services Of Northeast Connecticut, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 63 Canterbury Rd, Brooklyn, Connecticut |
| Authorized Official Name and Position | Robert E Smanik (CEO) |
| Authorized Official Contact | 8609286541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Services Of Northeast Connecticut, Llc P.o. Box 8469 Belfast ME 04915-8469 Ph: (860) 928-6541 | Physician Services Of Northeast Connecticut, Llc 63 Canterbury Rd Brooklyn CT 06234-1901 Ph: (860) 779-5940 |
| NPI Number | 1841437456 |
|---|---|
| Provider Enumeration Date | 01/20/2009 |
| Last Update Date | 01/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841437456 | NPI | - | NPPES |
| 1891962221 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Brandylynn Turner Aprn Fnp-c Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 538b Providence Rd, Brooklyn, CT 06234 Phone: 860-617-1499 | |
Joseph Alessandro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Canterbury Rd, Brooklyn, CT 06234 Phone: 860-779-5940 Fax: 860-779-5499 |