Mohegan Tribe of Indians of Connecticut

NPI #1467442863 in Uncasville, Connecticut

Provider Information

NPI Number
1467442863
Entity Type
Organization
Organization Name
Mohegan Tribe of Indians of Connecticut
Primary Specialty
Ambulance
Enumeration Date
Oct 26, 2005
Last Updated
Jun 19, 2019

Practice Location

Address
13 CROW HILL RD
ZIP Code
06382-1118
Phone
(860) 862-6110

Authorized Official

Name
MS. MARY T GENTILE
Title
AUTHORIZED AGENT
Phone
(860) 257-9201

Specialties & Taxonomy Codes

Specialty
Ambulance

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