| Physician Services Of Northeast | |
|
320 Pomfret St Suite Csb2 Putnam CT 06260-1836 | |
| (860) 928-6541 | |
| (860) 963-6450 |
| Full Name | Physician Services Of Northeast |
|---|---|
| Speciality | Family Medicine |
| Location | 320 Pomfret St, Putnam, Connecticut |
| Authorized Official Name and Position | Julie Drouin (CFO) |
| Authorized Official Contact | 8609286541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Services Of Northeast 320 Pomfret St Suite Csb2 Putnam CT 06260-1836 Ph: (860) 928-6541 | Physician Services Of Northeast 320 Pomfret St Suite Csb2 Putnam CT 06260-1836 Ph: (860) 928-6541 |
| NPI Number | 1891962221 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 09/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891962221 | NPI | - | NPPES |
| 008001905 | Medicaid | CT | |
| 008014016 | Medicaid | CT |
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