Physician Services of Northeast Connecticut, LLC

NPI #1194966556 in Putnam, Connecticut

Provider Information

NPI Number
1194966556
Entity Type
Organization
Organization Name
Physician Services of Northeast Connecticut, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
DAY KIMBALL HOSPITAL
Primary Specialty
Family Medicine
Enumeration Date
Mar 16, 2009
Last Updated
Mar 16, 2009

Practice Location

Address
235 POMFRET ST
City
Putnam
ZIP Code
06260-1835
Phone
(860) 928-0493

Authorized Official

Name
ROBERT E SMANIK
Title
CEO
Phone
(860) 928-6541

Specialties & Taxonomy Codes

Specialty
Family Medicine

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