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ASSOCIATED SPECIALISTS OF SOUTHEASTERN CONNECTICUT, INC.

Physicians Internal Medicine Endocrinology, Diabetes & Metabolism

Provider NPI: 1588844591

Organization Information:
Organization Name:  ASSOCIATED SPECIALISTS OF SOUTHEASTERN CONNECTICUT, INC.
Organization is Subpart
Authorized Official:  PAMELA  KANE  VICE PRESIDENT  860-442-0711

Practice Location:
365 MONTAUK AVE  NEW LONDON, CT 06320-4700 US
Tel: 860-442-0711  Fax: --

Business Mailing Address:
2 LORENZ INDUSTRIAL PARKWAY  LEDYARD, CT 06339-1946 US
Tel: 860-464-3045  Fax: 860-464-3043

NPI Information:
NPI: 1588844591
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207RE0101XPhysicians
Internal Medicine
Endocrinology, Diabetes & Metabolism
N207RI0200XPhysicians
Internal Medicine
N363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
N2080N0001XPhysicians
Pediatrics
N363LN0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
N363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
N2084N0400XPhysicians
Psychiatry & Neurology
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
CT
N207QS1201X
N363LA2100XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Y207R00000XPhysicians
Internal Medicine
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
CT
N208100000XPhysicians
Physical Medicine & Rehabilitation
N2084P0800XPhysicians
Psychiatry & Neurology
N207Q00000XPhysicians
Family Medicine

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207R00000X

Type:

Classification:



Definition:



MEDICAL JOBS CT - Page 1

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