Eastern Connecticut Medical Professionals Foundation, INC
NPI #1497864516 in South Windsor, Connecticut
Provider Information
- NPI Number
- 1497864516
- Entity Type
- Organization
- Organization Name
- Eastern Connecticut Medical Professionals Foundation, INC
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 30, 2006
- Last Updated
- Dec 19, 2012
Practice Location
- Address
- 2800 TAMARACK AVENUE
- Address 2
- SUITE 104
- City
- South Windsor
- State
- Connecticut
- ZIP Code
- 06074
- Phone
- (860) 648-4480
Authorized Official
- Name
- DR. KENNETH R ALLEYNE, MD
- Title
- OWNER
- Phone
- (860) 648-4480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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