| Occupational Medicine Of The Northeast, Llc | |
|
240 East St Plainville CT 06062-2935 | |
| (860) 747-4541 | |
| (860) 793-1218 |
| Full Name | Occupational Medicine Of The Northeast, Llc |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 240 East St, Plainville, Connecticut |
| Authorized Official Name and Position | Stephen A Kei (MEMBER) |
| Authorized Official Contact | 8607474541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Occupational Medicine Of The Northeast, Llc 240 East St Plainville CT 06062-2935 Ph: (860) 747-4541 | Occupational Medicine Of The Northeast, Llc 240 East St Plainville CT 06062-2935 Ph: (860) 747-4541 |
| NPI Number | 1699099630 |
|---|---|
| Provider Enumeration Date | 03/19/2010 |
| Last Update Date | 08/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699099630 | NPI | - | NPPES |
| D100021321 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | 027429 (Connecticut) | Primary |
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