| Physician Services Of Northeast Connecticut, Llc | |
|
168 Route 171 South Woodstock CT 06267 | |
| (860) 928-9270 | |
| (860) 928-1397 |
| Full Name | Physician Services Of Northeast Connecticut, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 168 Route 171, South Woodstock, 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 Connecticut, Llc 320 Pomfret St Suite Csb#2 Putnam CT 06260-1836 Ph: (860) 928-6541 | Physician Services Of Northeast Connecticut, Llc 168 Route 171 South Woodstock CT 06267 Ph: (860) 928-9270 |
| NPI Number | 1790925105 |
|---|---|
| Provider Enumeration Date | 02/25/2009 |
| Last Update Date | 02/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790925105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |