Coventry Internal Medicine

NPI #1346435898 in Coventry, Connecticut

Provider Information

NPI Number: 1346435898
Entity Type: Organization
Organization Name: Coventry Internal Medicine
Primary Specialty: Internal Medicine
Enumeration Date: Sep 7, 2007
Last Updated: Sep 7, 2007

Practice Location

Address: 1366 MAIN ST
City: Coventry
State: Connecticut
ZIP Code: 06238-3168
Phone: (860) 742-0807

Authorized Official

Name: DR. MICHAEL E. KEENAN, M.D.
Title: PRESIDENT
Phone: (860) 742-0807

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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