Physician Services of Northeast

NPI #1174809966 in Putnam, Connecticut

Provider Information

NPI Number
1174809966
Entity Type
Organization
Organization Name
Physician Services of Northeast
Primary Specialty
Clinic/Center
Enumeration Date
Oct 25, 2011
Last Updated
Oct 25, 2011

Practice Location

Address
320 POMFRET ST
City
Putnam
ZIP Code
06260-1836
Phone
(860) 928-6541

Authorized Official

Name
CHRISTINE L VALLEE
Title
VP PHYSICIAN SERVICES
Phone
(860) 928-6541

Specialties & Taxonomy Codes

Specialty
Midwife
Advanced Practice Midwife
Clinic/Center

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