| East Haddam Medical Associate,pc | |
|
16 William F Palmer Rd Moodus CT 06469-1131 | |
| (860) 873-1414 | |
| (860) 873-3428 |
| Full Name | East Haddam Medical Associate,pc |
|---|---|
| Speciality | Physician Assistant |
| Location | 16 William F Palmer Rd, Moodus, Connecticut |
| Authorized Official Name and Position | Pamela Gourlie (OFFICE MANAGER) |
| Authorized Official Contact | 8608738983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Haddam Medical Associate,pc 16 William F Palmer Rd P O Box 430 Moodus CT 06469-1131 Ph: (860) 873-1414 | East Haddam Medical Associate,pc 16 William F Palmer Rd Moodus CT 06469-1131 Ph: (860) 873-1414 |
| NPI Number | 1063472363 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063472363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 024845 (Connecticut) | Primary |
| 363A00000X | Physician Assistant | 000457 (Connecticut) | Primary |
Mhs Primary Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 William F Palmer Rd, Moodus, CT 06469 Phone: 860-873-1414 Fax: 860-358-8659 |